KERRY LEE O'BRIEN (NPI# 1366418535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366418535 |
| Entity Type | Individual |
| Full Name | KERRY LEE O'BRIEN |
| Credential | NP |
| Practice Address |
4560 Se International Way Suite 100 Milwaukie OR 97222-4628 |
| Practice Telephone | 5033124607 |
| Practice Fax Number | 5032962408 |
| Mailing Telephone | 5033124607 |
| Mailing Fax Number | 5032962408 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
200250084NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200950006NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
200250083NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000677 | 05 | |
| WA | 1366418535 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017614 | Kerry E. O'brien | Counselor | 1800 Orleans St # 3-141, Baltimore, MD 21287-0010 | 2019-01-22 |
| 1659689578 | Kerry A O'brien | Speech-Language Pathologist | 24 Noyes Ln, Halesite, NY 11743-2141 | 2010-09-14 |
| 1649799099 | Kerry Joan O'brien | Social Worker | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2017-09-18 |
| 1346312659 | Kerry Lee O'brien | Social Worker | 410 Church St Se, Boynton Health Service, Minneapolis, MN 55455-0340 | 2006-11-14 |
| 1609856061 | Kerry L. O'brien | Pathology | 330 Brookline Ave, Yamins 3, Boston, MA 02215-5400 | 2006-01-20 |
| Street Address |
4560 SE INTERNATIONAL WAY SUITE 100 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563529 | Jordan Victorio | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2020-09-23 |
| 1992268007 | Artur Azizkhanian | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-04-08 |
| 1730643966 | Heather Lin Heilman | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-01-22 |
| 1235604687 | Kam Y Lau | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2018-10-11 |
| 1396267779 | Sydney Cook | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2017-07-07 |
| 1407381080 | Colleen Mathews | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-04-20 |
| 1245762988 | Kristina Gill | Physical Therapist | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2017-03-31 |
| 1093246381 | Jeffrey Lawman | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-27 |
| 1841731650 | Eva Sachen | Occupational Therapist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-13 |
| 1710427810 | Marquis Clinical Services LLC | Physician Assistant | 4560 Se International Way, Suite 100, Milwaukie, OR 97222 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162880 | Maria Isabell Foy | Nurse Practitioner | 2305 Se Washington St, Milwaukie, OR 97222-7647 | 2006-04-11 |
| 1124012042 | Joel Aaron Michels | Nurse Practitioner | 10505 Se 17th Ave, Suite 210, Milwaukie, OR 97222-7475 | 2005-09-07 |
| 1154957330 | Michelle Ann Rohde | Nurse Practitioner | 6542 Se Lake Rd, Milwaukie, OR 97222-2244 | 2020-03-19 |
| 1275179236 | Sharon Jeanne Doty | Nurse Practitioner | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2019-11-25 |
| 1043855257 | Samantha Jay Abbott | Nurse Practitioner | 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222-6656 | 2019-11-12 |
| 1407358450 | Cailin Kelly Jarrell | Nurse Practitioner | 14411 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2018-03-06 |
| 1982074704 | Sanja Draskovic | Nurse Practitioner | 2535 Se Harrison St, Milwaukie, OR 97222-7530 | 2015-10-06 |
| 1427427103 | Claire Kinnison | Nurse Practitioner | 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222-6656 | 2015-09-23 |
| 1508235326 | Ellen Louise Kline Petersen | Nurse Practitioner | 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267-1416 | 2015-09-22 |
| 1649665928 | Margaret Anderson | Nurse Practitioner | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2015-04-02 |
| Find all providers in MILWAUKIE | ||||
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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.