AMANDA KAY MATZKE VANSANDT (NPI# 1316104888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316104888 |
| Entity Type | Individual |
| Full Name | AMANDA KAY MATZKE VANSANDT |
| Other Name | AMANDA KAY MATZKE |
| Credential | D.O. |
| Practice Address |
3181 Sw Sam Jackson Park Rd # L113 Portland OR 97239-3011 |
| Practice Telephone | 5034948276 |
| Mailing Telephone | 5034948276 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
DO156796 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3181 SW SAM JACKSON PARK RD # L113 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038363 | Andrew Michael Schreiner | Pathology | 3181 Sw Sam Jackson Park Rd # L113, Portland, OR 97239-3011 | 2006-11-13 |
| 1558912774 | Richelle Malott | Pathology | 3181 Sw Sam Jackson Park Rd # L113, Portland, OR 97239-3011 | 2019-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1477896975 | Wei Xie | Pathology | 3181 Sw Sam Jackson Rd., Portland, OR 97239-3011 | 2013-04-03 |
| 1114276060 | Joanna Wiszniewska | Pathology | 3181 Sw Sam Jackson Park Rd # L103, Portland, OR 97239-3011 | 2012-09-06 |
| 1629368816 | Aaron Halfpenny | Pathology | 3181 Sw Sam Jackson Park Rd # L-471, Portland, OR 97239-3011 | 2011-04-09 |
| 1568618239 | Cascade Pathology Services, Corp | Pathology | 10340 Sw Nimbus Ave, Suite N-b, Portland, OR 97223-4307 | 2008-08-13 |
| 1508044595 | Reva S. Ricketts-loriaux | Pathology | 3158 Sw Fairmount Blvd, Portland, OR 97239-1467 | 2008-02-01 |
| 1518038363 | Andrew Michael Schreiner | Pathology | 3181 Sw Sam Jackson Park Rd # L113, Portland, OR 97239-3011 | 2006-11-13 |
| 1184735524 | Donna E Hansel | Pathology | 3181 Sw Sam Jackson Park Rd # L-113, Portland, OR 97239-3011 | 2006-08-31 |
| 1689781056 | Chad D Galderisi | Pathology | 1341 Sw Custer Dr, Portland, OR 97219 | 2006-08-23 |
| 1336152735 | Edwin K Chinn | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-15 |
| Find all providers in PORTLAND | ||||
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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.