MUBEEN JAFRI (NPI# 1245433184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245433184 |
| Entity Type | Individual |
| Full Name | MUBEEN JAFRI |
| Credential | MD |
| Practice Address |
501 N Graham St Suite 300 Portland OR 97227-1654 |
| Mailing Address |
1200 Nw Marshall St #1317 Portland OR 97209-3165 |
| Practice Telephone | 5034600065 |
| Practice Fax Number | 5034600608 |
| Mailing Telephone | 5039159838 |
| Mailing Fax Number | 5034600065 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD155230 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
501 N GRAHAM ST SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869157 | Paula Deanne Dietsch Kuiper | Physician Assistant | 501 N Graham St, Suite 220, Portland, OR 97227-1654 | 2005-05-27 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| 1831640267 | Morgan Sue Huey | Physician Assistant | 501 N Graham St, Suite 415, Portland, OR 97227-1654 | 2016-10-20 |
| 1093169583 | Theresa Mcsherry | Nurse Practitioner | 501 N Graham St, Suite 555, Portland, OR 97227-1654 | 2016-04-20 |
| 1093172702 | Jeremy Alper | Pharmacist | 501 N Graham St, Portland, OR 97227-1654 | 2016-01-26 |
| 1003287269 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 501 N Graham St, Ste 255, Portland, OR 97227-1654 | 2015-10-14 |
| 1316321110 | Portland Ear, Nose & Throat Specialists | Specialist | 501 N Graham St, Suite 455, Portland, OR 97227-1654 | 2015-07-13 |
| 1942693908 | Leigh Warsing | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2015-03-13 |
| 1134521909 | Justin Hadaller | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2014-09-23 |
| 1932542503 | Erica T Ballard | Physician Assistant | 501 N Graham St, Ste 200, Portland, OR 97227-1654 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740470681 | John Richard Campbell | Surgery | 745 Sw Gaines St, Cdw-7, Portland, OR 97239-2901 | 2007-07-26 |
| 1801801394 | Mark Lawrence Silen | Surgery | 2552 Nw Mildred St, Portland, OR 97210-3337 | 2006-07-31 |
| 1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
| 1265631352 | Kartikey A Pandya | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2007-07-17 |
| 1720297849 | Jeffrey M. Halter | Surgery | 887 Congress St, Suite 300, Portland, ME 04102 | 2007-05-22 |
| 1619197423 | Maine Pediatric Surgical Associates | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2007-04-26 |
| 1659497709 | Elizabeth Anderson Fialkowski | Surgery | 3181 Sw Sam Jackson Park Rd, Cdw7, Portland, OR 97239-3011 | 2007-03-21 |
| 1659451086 | Providence Health & Services - Oregon | Surgery | 1321 Ne 99th Ave, Suite 200, Portland, OR 97220-9436 | 2006-10-17 |
| 1447330410 | Ian R Neilson | Surgery | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2006-10-16 |
| 1043300502 | Cynthia Ann Gingalewski | Surgery | 501 N Graham St, Mob 2 Suite 300, Portland, OR 97227-1654 | 2006-10-13 |
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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.