MARYAM HADIASHAR (NPI# 1306011259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306011259 |
| Entity Type | Individual |
| Full Name | MARYAM HADIASHAR |
| Credential | M.D. |
| Practice Address |
19250 Sw 65th Ave Suite 325 Tualatin OR 97062-7452 |
| Mailing Address |
7650 Sw Beveland Rd Suite 200 Portland OR 97223-8692 |
| Practice Telephone | 5036921242 |
| Practice Fax Number | 5036913615 |
| Mailing Telephone | 5036013615 |
| Mailing Fax Number | 5036461683 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD169778 | OR | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 41054 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD169778 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRAINING PERMIT | 81779 | 01 | |
| OR | 500677509 | 05 |
| Street Address |
19250 SW 65TH AVE SUITE 325 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100526 | Meridian Family Care, LLC | Family Medicine | 19250 Sw 65th Ave, Ste 265, Tualatin, OR 97062-7452 | 2005-08-03 |
| 1285168872 | Radiation Oncology Specialists PC | Clinic/Center | 19250 Sw 65th Ave, Suite 220, Tualatin, OR 97062-7452 | 2017-04-20 |
| 1750834545 | Jane Elizabeth Adkins Nath | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2016-07-27 |
| 1356717359 | Dana Jones Ulrich | Nurse Practitioner | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-08-13 |
| 1952791501 | Lauren Metzger | Social Worker | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-02-03 |
| 1346682390 | Dorothy Nell Knapp | Psychologist | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-07-18 |
| 1841639887 | Marisa Rose Bryman | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-06-24 |
| 1548555451 | Brenda C. Brewer | Nurse Practitioner | 19250 Sw 65th Ave, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1346536299 | Adam N Glaser | Internal Medicine | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1689967994 | Marceea Genea Hanlin | Physical Therapist | 19250 Sw 65th Ave, Medical Plaza #1, Suite 125, Tualatin, OR 97062-7452 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1780021899 | Grapevine Womens Health and Gynecology, LLC | Obstetrics & Gynecology | 5880 Ne Cornell Rd Ste C, Hillsboro, OR 97124-9075 | 2013-05-30 |
| 1861717290 | Richard Malcolm Thorne | Obstetrics & Gynecology | 1295 Victoria Falls Dr, Redmond, OR 97756-8287 | 2010-03-29 |
| 1194975078 | Mid-columbia Medical Center | Obstetrics & Gynecology | 1730 E. 12th St, The Dalles, OR 97058 | 2008-09-26 |
| 1477729754 | Lithia Women's Healthcare LLC | Obstetrics & Gynecology | 725 N. Main St., Ashland, OR 97520-1752 | 2008-05-06 |
| 1164695953 | Leonard Laskow | Obstetrics & Gynecology | 1939 Tamarack Pl, Ashland, OR 97520-3542 | 2008-04-11 |
| 1164600243 | Northwest Gynecology Associates,llc | Obstetrics & Gynecology | 4660 Ne Belknap Ct Ste 109, Hillsboro, OR 97124-8402 | 2008-01-31 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
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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.