DR. KATE BENEDICT DEISSEROTH (NPI# 1356566525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356566525 |
| Entity Type | Individual |
| Full Name | DR. KATE BENEDICT DEISSEROTH |
| Credential | MD |
| Practice Address |
7000 Sw Vermont St Apt 305 Portland OR 97223-7568 |
| Practice Telephone | 5038667299 |
| Mailing Telephone | 5038667299 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
OR | Allopathic & Osteopathic Physicians |
| Street Address |
7000 SW VERMONT ST APT 305 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-7568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750838652 | Sarah Catalin O'reilly-harbidge | Orthopaedic Surgery | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-09-08 |
| 1265987978 | Mitchell Jon Steele | Orthopaedic Surgery | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-23 |
| 1134561020 | Shriners Hospitals for Children | Orthopaedic Surgery | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2013-07-22 |
| 1194934307 | Robert Cecil Umberhandt | Orthopaedic Surgery | 501 N Graham St, Legacy Bone and Joint Clinic Suite 200, Portland, OR 97227-1654 | 2007-05-22 |
| 1588733489 | Stephen Einar Renwick | Orthopaedic Surgery | 9427 Sw Barnes Rd, Mother Joseph Plaza, Portland, OR 97225-7225 | 2006-11-06 |
| 1407946577 | Ellen Marie Raney | Orthopaedic Surgery | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2006-10-12 |
| 1063445401 | Matthew F Halsey | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Department of Orthopaedics, Op-31, Portland, OR 97239-3011 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518468644 | Desert Bone & Joint Specialists LLP | Orthopaedic Surgery | 1140 Sw Simpson Ave, Ste 100, Bend, OR 97702 | 2018-02-23 |
| 1679884027 | Physicians of Central Oregon, LLC | Orthopaedic Surgery | 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 | 2010-06-30 |
| 1235267303 | Desert Bone & Joint Specialists LLP | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701-3887 | 2007-03-01 |
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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.