DR. JORDON G LUBAHN


Address: 10819 Se Stark St, Portland, OR 97216-3161
Phone: 5032552291

DR. JORDON G LUBAHN (NPI# 1225201155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225201155
Entity Type Individual
Full Name DR. JORDON G LUBAHN
Credential M.D.
Practice Address 10819 Se Stark St
Portland
OR 97216-3161
Practice Telephone 5032552291
Practice Fax Number 5032521797
Mailing Telephone 5032552291
Mailing Fax Number 5032521797
Enumeration Date 2008-04-11
Last Update Date 2013-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 161328 OR Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology ME112134 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500655796 05

Office Location

Street Address 10819 SE STARK ST
City PORTLAND
State OR
Zip Code 97216-3161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902804081 Jonathan Yoken Ophthalmology 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 2005-07-12
1720357825 Karen Truong Optometrist 10819 Se Stark St, Portland, OR 97216-3161 2011-12-19
1467786020 Eye Health Northwest P.C. Ophthalmology 10819 Se Stark St, Portland, OR 97216-3161 2009-09-29
1831320233 Francisco Castillo Ophthalmology 10819 Se Stark St, Portland, OR 97216 2009-08-03
1700014503 Matthew Brian Kaufman Ophthalmology 10819 Se Stark St, Portland, OR 97216 2009-06-30
1669655213 Robert H Mcglynn Jr. Ophthalmology 10819 Se Stark St, Portland, OR 97216-3161 2007-12-06
1578690566 Brian Tsi-wah Chan-kai Ophthalmology 10819 Se Stark St, Portland, OR 97216-3161 2007-02-27
1801974027 Shane K. Kim Ophthalmology 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 2006-11-02
1497737027 James Roger Waldman Ophthalmology 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 2005-11-18
1245212901 Jonathan Robert Kemp Ophthalmology 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 2005-11-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
Find all providers in zip 97216

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003357831 Sungjae Yang Ophthalmology 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 2017-03-13
1538522669 Priscilla Quynh-phuong Vu Ophthalmology 515 Sw Campus Dr, Portland, OR 97239-3130 2016-04-05
1861736902 Asem Alqudah Ophthalmology 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 2012-11-15
1184912925 Mehrdad Malihi Ophthalmology 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 2011-07-14
1275820714 Aristomenis Thanos Ophthalmology 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 2011-07-06
1437440435 Jessica S Watson Ophthalmology 15 Lowell Street, Portland, ME 04102-2726 2011-04-25
1497955777 Paul James Mackenzie Ophthalmology 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 2007-07-24
1013127075 Michael David Straiko Ophthalmology 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 2007-05-22
1952515645 Jay Brandon Futterman Ophthalmology 3719 Se Market St, Portland, OR 97214-5147 2007-05-10
1063541381 Thomas William Lindgren Ophthalmology 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 2007-03-04
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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