MICHAEL BEAUCHAINE (NPI# 1255672465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255672465 |
Entity Type | Individual |
Full Name | MICHAEL BEAUCHAINE |
Practice Address |
2020 8th Ave Suite 200 West Linn OR 97068 |
Mailing Address |
Po Box 19070 Green Bay WI 54307-9070 |
Practice Telephone | 5035121212 |
Mailing Telephone | 9204964700 |
Enumeration Date | 2013-03-13 |
Last Update Date | 2017-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 4229-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA174762 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2020 8TH AVE SUITE 200 |
City | WEST LINN |
State | OR |
Zip Code | 97068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
1972014967 | Gina Briana Meyer | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-10-17 |
1750890414 | Ginabfit | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-09-26 |
1043769227 | West Linn Vision Center Inc | Optometrist | 2020 8th Ave, Suite A, West Linn, OR 97068-4657 | 2016-09-28 |
1851741227 | Lance Jordan Nelson | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2016-06-16 |
1174972053 | Active Edge Physical Therapy & Sports Medicine | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2016-06-10 |
1346607363 | Pediatric Dentistry of West Linn | Dentist | 2020 8th Ave, Suite #121, West Linn, OR 97068-4657 | 2016-01-21 |
1407236177 | Advanced Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 221, West Linn, OR 97068-4657 | 2015-06-08 |
1285011403 | Golden Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 218, West Linn, OR 97068-4657 | 2015-04-27 |
1376941427 | Lauren Elizabeth Koch | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2014-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
Find all providers in zip 97068 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376165134 | Emily Axelrod | Physician Assistant | 19648 Wildwood Dr, West Linn, OR 97068-2210 | 2020-05-14 |
1851812044 | Brandon Roses | Physician Assistant | 18380 Willamette Dr Ste 202, West Linn, OR 97068-1200 | 2017-06-28 |
1245319169 | Shae Noelle Montegna | Physician Assistant | 2020 8th Ave Ste 200, West Linn, OR 97068-4657 | 2006-11-02 |
1215046172 | Karoline Woitke | Physician Assistant | 2020 8th Ave Ste 100, West Linn, OR 97068 | 2006-08-30 |
1033604715 | Stephanie Dewes | Physician Assistant | 18380 Willamette Dr Ste 202, West Linn, OR 97068-1200 | 2018-06-26 |
1679819239 | Shea Mertens Deklotz | Physician Assistant | 2020 8th Ave Ste 200, West Linn, OR 97068-4657 | 2012-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
1639786411 | Bridget Meade-sentosun | Physician Assistant | 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 | 2020-09-25 |
1518570738 | Samantha Larelle Williamson | Physician Assistant | 1551 2nd St, Umatilla, OR 97882-9707 | 2020-08-27 |
1356951891 | Eric James Humphrey | Physician Assistant | 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 | 2020-08-07 |
1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
1831712280 | Joshua Sprague | Physician Assistant | 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 | 2020-05-20 |
1194357897 | Cody Manriquez | Physician Assistant | 3128 Ne Post Ave, Bend, OR 97701-7646 | 2020-02-10 |
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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.