DR. MICHELLE L JOHN


Address: 24988 Se Stark St, Suite 220, Gresham, OR 97030-8322
Phone: 5036741580

DR. MICHELLE L JOHN (NPI# 1336108208) 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) 1336108208
Entity Type Individual
Full Name DR. MICHELLE L JOHN
Credential M.D.
Practice Address 24988 Se Stark St
Suite 220
Gresham
OR 97030-8322
Mailing Address 1414 Ne Hancock St
Portland
OR 97212-4440
Practice Telephone 5036741580
Enumeration Date 2006-03-20
Last Update Date 2011-02-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MD25190 OR Allopathic & Osteopathic Physicians

Other Providers MICHELLE JOHN

NPI Name Taxonomy Address Enumeration
1487189940 Michelle John Registered Nurse 516 E Nizhoni Blvd, Gallup, NM 87301-5748 2017-04-21
1013269125 Michelle John Nurse's Aide 35 Elm Street, Apt A, Whiteland, IN 46184 2012-10-12
1114233764 Michelle John Nutritionist 400 Health Park Blvd, Nutrition Services, St Augustine, FL 32086-5784 2010-08-20
1013145671 Michelle H. John Occupational Therapist 425 E. Los Ebanos Blvd., Suite 109, Brownsville, TX 78520-8443 2009-06-22
1851549083 Michelle Sexton John Audiologist 915 Gessner Rd, Suite 280, Houston, TX 77024-2527 2008-08-29
1417034588 Michelle John Specialist 2615 W Main St, Jacksonville, AR 72076-4215 2006-11-01

Office Location

Street Address 24988 SE STARK ST
SUITE 220
City GRESHAM
State OR
Zip Code 97030-8322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555860 Peter R Gyerko Pediatrics 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 2005-08-15
1952858300 Loan Duong Physician Assistant 24988 Se Stark St, Gresham, OR 97030-8322 2016-09-01
1063738128 Aura Theresa Bondoc De Olazo Internal Medicine 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030-8322 2010-04-14
1710120845 Jenny Lara Semadeni Malcom Pediatrics 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 2009-04-20
1508060849 Lori Ann Anderson Pediatrics 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 2007-06-12
1407066764 Metta Elizabeth Kohn Willey Pediatrics 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 2007-05-23
1356469902 Ted Huang Internal Medicine 24988 Se Stark St, Suite 140, Gresham, OR 97030-8322 2007-03-26
1851461990 Mischelle Mcmillan Internal Medicine 24988 Se Stark St, #220, Gresham, OR 97030-8322 2006-11-08
1235103276 Gordon Johnson Hospitalist 24988 Se Stark St, Gresham, OR 97030-8324 2006-02-15
1558354522 Mth Clinic PC Internal Medicine 24988 Se Stark St, Ste 300, Gresham, OR 97030-8322 2005-08-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
Find all providers in zip 97030

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376720052 Shevyll Arvie Siong Tan Internal Medicine 24988 Stark. St., Legacy Medical Group Mount Hood, Suite 220 Medical Office Bldg 3, Gresham, OR 97030 2008-01-24
1619173085 Regina S. Won Internal Medicine 24800 Se Stark St Fl 3, Legacy Medicine Inpatient Service, Gresham, OR 97030 2007-06-22
1134204340 Gresham Internal Medicine Clinic Internal Medicine 24900 Se Stark St Ste 109, Gresham, OR 97030-3381 2006-10-26
1952497307 Maureen Ann Wright Internal Medicine 831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 2006-10-05
1730133679 Sunita M Deshmukh Internal Medicine 440 Nw Division St, Gresham, OR 97030-5506 2006-05-22
1033183918 Amy Katherine Chaumeton Internal Medicine 24800 Se Stark St, Gresham, OR 97030-3378 2006-02-15
1770561813 John M Custis Internal Medicine 24900 Se Stark, Ste 109, Gresham, OR 97030 2006-01-09
1972078590 Portland Adventist Medical Center Internal Medicine 831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 2018-10-10
1760878243 Matthew Sabongi Internal Medicine 24800 Se Stark St, Gresham, OR 97030-3378 2015-04-10
1073951208 Brittney B Mensen Internal Medicine 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 2013-06-10
Find all providers in GRESHAM

Competitor

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City GRESHAM
Zip Code 97030

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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