RUSSELL ROBERT KINDER


Address: 10000 Se Main St Ste 128, Portland, OR 97216-2462
Phone: 5032516835

RUSSELL ROBERT KINDER (NPI# 1316140965) 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) 1316140965
Entity Type Individual
Full Name RUSSELL ROBERT KINDER
Credential MD
Practice Address 10000 Se Main St Ste 128
Portland
OR 97216-2462
Practice Telephone 5032516835
Practice Fax Number 5032516836
Mailing Telephone 5032516835
Mailing Fax Number 5032516836
Enumeration Date 2007-06-08
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
MD156934 OR Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
MD60232145 WA Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD156934 OR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
WA 1316140965 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
145 Lilly Rd Ne Ste 101, Olympia, WA 985065028 4257741538 4257745171

Office Location

Street Address 10000 SE MAIN ST STE 128
City PORTLAND
State OR
Zip Code 97216-2462

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235520503 Andrew Oh Md PC Anesthesiology 140 Nw 14th Ave, Portland, OR 97209-2601 2015-02-09
1558751958 Washington Center for Pain Management LLC Anesthesiology 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 2015-01-23
1134486327 Kathryn Ashley Price Anesthesiology 1130 Nw 22nd Ave Ste 345, Portland, OR 97210-2978 2012-04-12
1679728950 Robert C Foege Anesthesiology 3325 N Interstate Ave, Portland, OR 97227-1020 2008-11-30
1861648362 Andrei D Sdrulla Anesthesiology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2008-08-15
1376728097 Joseph P Stapleton Md, PC Anesthesiology 9300 Se 91st Ave, Suite 400, Portland, OR 97086 2007-12-31
1811917750 James Mark Bertola Anesthesiology 3325 N Interstate Ave, Dept of Pain Medicine, Portland, OR 97227-1020 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912346461 Vishal Khemlani Anesthesiology 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062-8854 2013-06-18
1124075791 Gregory Gullo Anesthesiology 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 2006-05-28
1851353502 Ahmed Ebeid Anesthesiology 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 2006-04-06
1992798169 Timothy L Kelly Anesthesiology 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 2005-08-23
1013911361 Brett T Quave Anesthesiology 701 Golf View Dr, Medford, OR 97504-9643 2005-06-01
1568083517 Deschutes Pain Specialists LLC Anesthesiology 2235 Nw Shevlin Park Rd Ste 100, Bend, OR 97703-7111 2020-04-30
1942675467 Pain Care Specialists of Oregon, LLC Anesthesiology 2480 Liberty St Ne Ste 180, Salem, OR 97301-8388 2015-12-09
1487023388 Comprehensive Pain Care, LLC Anesthesiology 842 E Main St, Medford, OR 97504-7134 2015-09-21
1144647033 Erica Bohan Anesthesiology 825 Bennett Ave, Medford, OR 97504-6715 2014-03-28
1699102426 Comprehensive Pain Consultants, LLC Anesthesiology 851 Ne Baker St Ste 1, Mcminnville, OR 97128-4991 2013-10-12
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Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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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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