THE ENDOCRINE CLINIC PC (NPI# 1255367884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255367884 |
| Entity Type | Organization |
| Organization Name | THE ENDOCRINE CLINIC PC |
| Practice Address |
10000 Se Main St Suite 403 Portland OR 97216-2448 |
| Practice Telephone | 5032564096 |
| Practice Fax Number | 5032560101 |
| Mailing Telephone | 5032564096 |
| Mailing Fax Number | 5032560101 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TAMI L PRIDEAUX (CLINIC MANAGER) |
| Authorized Official Telephone | 5032564096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD019378 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
10000 SE MAIN ST SUITE 403 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729798 | Charles L Colip | Specialist | 10000 Se Main St, Ste 203, Portland, OR 97216-2442 | 2005-06-10 |
| 1538603733 | Patrick Schrank | Physician Assistant | 10000 Se Main St, Suite 224, Portland, OR 97216-2448 | 2016-12-07 |
| 1912303504 | Alexis Marie Bonfiglio | Physician Assistant | 10000 Se Main St, Suite 116, Portland, OR 97216-2448 | 2014-11-10 |
| 1790188258 | Bret Gene Ball LLC | Specialist | 10000 Se Main St, 318, Portland, OR 97216-2448 | 2014-09-29 |
| 1396177937 | Bridgetown Medical Group P.C. | Obstetrics & Gynecology | 10000 Se Main St, Suite 212, Portland, OR 97216 | 2013-08-06 |
| 1083967020 | Won Bahng Hwee | Physician Assistant | 10000 Se Main St, Suite 342, Portland, OR 97216-2448 | 2012-10-15 |
| 1134495567 | Aaron Benjamin Case | Emergency Medicine | 10000 Se Main St, Adventist Medical Center, Portland, OR 97216-2448 | 2012-03-29 |
| 1417232869 | Sherrie Kaye Evenson | Clinical Exercise Physiologist | 10000 Se Main St, Suite 55, Portland, OR 97216-2448 | 2011-10-17 |
| 1265768774 | Jmsp LLC | Pharmacy | 10000 Se Main St, Ste 118, Portland, OR 97216-2448 | 2009-10-19 |
| 1114179116 | Mallory Marie Mcnicholas Dotson | Physician Assistant | 10000 Se Main St, Suite 112, Portland, OR 97216-2448 | 2008-10-21 |
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| 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 Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1669731204 | Elena Vladimirovna Varlamov | Internal Medicine | 3181 Sw Sam Jackson Park Road, L607, Portland, OR 97239-3098 | 2012-05-15 |
| 1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
| 1700983574 | Maria Fleseriu | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte472, Portland, OR 97239-3011 | 2006-09-20 |
| 1437138955 | Wesley P Fairfield | Internal Medicine | 144 State St Fl 4, Portland, ME 04101-3776 | 2006-01-12 |
| 1811985963 | David Rawson Hotelling | Internal Medicine | 477 Congress St, 5th Floor, Portland, ME 04101-3427 | 2005-10-12 |
| 1942795539 | Teresa Anne Hillier Graham | Internal Medicine | 3800 N Interstate Ave, Portland, OR 97227-1110 | 2018-06-26 |
| 1982067351 | Shao Ting Dawn Lim | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-04-01 |
| 1497044614 | Sarah Soltman | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-03-29 |
| 1871892653 | Sarah Hopkins | Internal Medicine | 5050 Ne Hoyt St, Suite 540, Portland, OR 97213-2991 | 2011-03-20 |
| 1699076133 | Mainehealth | Internal Medicine | 22 Bramhall St, Portland, ME 04102 | 2010-11-16 |
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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.