NAOMI SUDA AVERY (NPI# 1225303316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225303316 |
| Entity Type | Individual |
| Full Name | NAOMI SUDA AVERY |
| Credential | M.D. |
| Practice Address |
600 Ne 8th St 3rd Floor Gresham OR 97030-7317 |
| Mailing Address |
619 Nw 6th Ave Portland OR 97209-3964 |
| Practice Telephone | 5039885155 |
| Practice Fax Number | 5039885185 |
| Mailing Telephone | 5039887468 |
| Mailing Fax Number | 5039883015 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD 60484278 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD60484278 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ML 60286843 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD175883 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022959 | 05 | |
| OR | 096511 | 05 |
| Street Address |
600 NE 8TH ST 3RD FLOOR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141470 | Onaiza Jhaveri Mcknight | Dentist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2006-06-11 |
| 1124645437 | Ramona Ann Waits | Dental Assistant | 600 Ne 8th St, Gresham, OR 97030-7317 | 2020-07-02 |
| 1881195402 | Mulnomah County | Clinic/Center | 600 Ne 8th St, Gresham, OR 97030-7317 | 2018-02-28 |
| 1477973469 | Multnomah County | Case Management | 600 Ne 8th St, Rm 220, Gresham, OR 97030-7317 | 2014-04-17 |
| 1992143291 | Ida Hazeem-layous | Dentist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2013-06-07 |
| 1962742460 | Charlene Afable Maxwell | Nurse Practitioner | 600 Ne 8th St, #300, Gresham, OR 97030-7317 | 2013-02-20 |
| 1790036366 | Syrett Yvonne Torres | Psychologist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2012-09-24 |
| 1821354366 | Lindsay Braun | Family Medicine | 600 Ne 8th St, Gresham, OR 97030-7317 | 2012-04-10 |
| 1639442627 | Cathy J Brunton | Registered Nurse | 600 Ne 8th St, Gresham, OR 97030 | 2012-02-22 |
| 1669752861 | Maria Victoria Manarang | Dental Hygienist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2011-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450651 | Neha Rupal Naik | Internal Medicine | 2925 River Road South, Suite 110, Salem, OR 97302 | 2014-05-21 |
| 1346526548 | Geriatric and Nursing Home | Internal Medicine | 441 Silverado Cir, Medford, OR 97504-8167 | 2011-11-01 |
| 1831353226 | Sonal Sonia Thakur | Internal Medicine | 19565 Aster Ln, Bend, OR 97702-2111 | 2008-07-15 |
| 1093916470 | Kellie Rooney Foster | Internal Medicine | 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 | 2007-05-31 |
| 1447310859 | Karen Kruse | Internal Medicine | 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 | 2006-12-08 |
| 1083729214 | Stephen Arnold Ebert | Internal Medicine | 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 | 2006-08-20 |
| 1326152935 | Frances May Yuhas | Internal Medicine | 818 W 6th St Ste 4, The Dalles, OR 97058-1147 | 2006-08-19 |
| 1609892736 | Paul Gowen | Internal Medicine | 3635 Ne Alameda St, Portland, OR 97212-1812 | 2006-07-14 |
| 1669418810 | Douglas Reed Grossnickle | Internal Medicine | 10373 Ne Hancock, Suite 219, Portland, OR 97220 | 2006-06-22 |
| 1821030552 | Steven Delashmutt | Internal Medicine | 3640 H St, Baker City, OR 97814-1278 | 2006-06-10 |
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| 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.