PHYSICIAN ON DUTY


Address: 14805 Sw Blanton St., Beaverton, OR 97007
Phone: 5039579632

PHYSICIAN ON DUTY (NPI# 1275787780) 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) 1275787780
Entity Type Organization
Organization Name PHYSICIAN ON DUTY
Practice Address 14805 Sw Blanton St.
Beaverton
OR 97007
Practice Telephone 5039579632
Mailing Telephone 5039579632
Enumeration Date 2008-11-11
Last Update Date 2008-11-11
Authorized Official Name SANDRA L JOLLY (BILLING MANAGER)
Authorized Official Telephone 5037264685
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 14805 SW BLANTON ST.
City BEAVERTON
State OR
Zip Code 97007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891272225 Ben Shepherd Cohn Massage Therapist 16088 Sw Hillary Pl, Beaverton, OR 97007 2018-07-27
1013410455 Taryn Weslie Van Vliet Counselor Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 2018-03-12
1588181184 Sarah Rennalls Massage Therapist 16315 Sw Barrows Road #203, Beaverton, OR 97007 2017-08-24
1982137501 Patrick N Huynh Nurse Practitioner 14795 Sw Scholls Dr., Beaverton, OR 97007 2017-04-10
1841675428 Jessica C Moore Social Worker 4585 Sw185th Ave, Beaverton, OR 97007 2015-07-24
1205233913 Julie Guzman Case Manager/Care Coordinator 4585 Sw 185th Ave., Beaverton, OR 97007 2014-11-24
1255738183 Jennifer Kenedy Case Manager/Care Coordinator 4585 Sw 185th Avenue, Aloha, OR 97007 2014-11-20
1053754069 Dr Bob Health Centre Internal Medicine 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 2013-04-09
1518211713 Rosebelinda S Nelson Dental Hygienist 3895 Sw 18th Ave. #170, Aloha, OR 97007 2012-11-09
1073871240 Suzanne Mcreynolds Mechanotherapist 16784 Sw Vincent St, Beaverton, OR 97007 2012-04-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659730760 Propel Network, LLC General Practice 14525 Sw Millikan Way, Beaverton, OR 97005-2343 2016-02-17
1639616733 Kaiser Foundation Health Plan of The Northwest General Practice 12450 Sw Walker Rd, Beaverton, OR 97005-1401 2017-01-26
1073064143 Kaiser Foundation Health Plan of The Northwest General Practice 11200 Sw Murray Scholls Pl, Suite 100, Beaverton, OR 97007-9816 2016-10-24
1033478532 Erin Hickman General Practice 1960 Nw 167th Pl Ste 103, Beaverton, OR 97006-4805 2012-05-04
1588662738 James B Johnsen General Practice 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 2005-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285234674 Sme Hawaii PC Inc General Practice 6021 Se Heike St, Hillsboro, OR 97123-8296 2020-10-27
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1346751443 Providence Health & Services Oregon General Practice 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 2017-10-16
1801333901 Kaiser Foundation Health Plan of The Northwest General Practice 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 2017-01-26
1336697143 Rita Lawler General Practice 8353 Se Clatsop Ct, Portland, OR 97266-6159 2016-09-21
1821541939 Samuel R. Sabo General Practice 18171 Waldow Rd., Oregon City, OR 97045 2016-07-26
1235526849 Hollis Lule Augee General Practice 5151 S.w. 88th Ave., Portland, OR 97225-1717 2015-04-21
1023428034 Victoria L. Larson General Practice 10,000 Se 222nd Ave., Damascus, OR 97089-6517 2014-04-29
1093134496 Red Leaf Natural Health Clinic General Practice 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 2014-04-14
1639592033 Hormone Health & Wellness of Central Oregon PC General Practice 497 Sw Century Dr Ste 120, Bend, OR 97702-1167 2014-01-22
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Competitor

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City BEAVERTON
Zip Code 97007

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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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