DR. BROOKE M MADDEN (NPI# 1366642746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366642746 |
Entity Type | Individual |
Full Name | DR. BROOKE M MADDEN |
Credential | M.D. |
Practice Address |
6640 Sw Redwood Ln Portland OR 97224-7187 |
Practice Telephone | 5036207358 |
Practice Fax Number | 5036246144 |
Mailing Telephone | 5036207358 |
Mailing Fax Number | 5036246144 |
Enumeration Date | 2007-07-23 |
Last Update Date | 2012-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD157914 | OR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6640 SW REDWOOD LN |
City | PORTLAND |
State | OR |
Zip Code | 97224-7187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558311688 | Suvarna Reddy Palla | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2006-05-11 |
1154713188 | Stacy Marie Rudy | Physician Assistant | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2015-02-27 |
1538582903 | Haley Gail Trontel | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224 | 2014-01-21 |
1750656161 | Michael Ryan Shrifter | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-03-19 |
1023380979 | Miles Percy Holland | Nurse Practitioner | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-02-07 |
1780848499 | Ann Marie Paulsen | Internal Medicine | 6640 Sw Redwood Ln, Portland, Portland, OR 97224-7187 | 2008-07-11 |
1831362482 | Arete Nw LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-04-03 |
1740459478 | Arete Nw, LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-02-27 |
1699977405 | Sheilla Treacy Ellsworth | Physical Therapist | 6640 Sw Redwood Ln, Suite 300, Portland, OR 97224-7187 | 2007-06-04 |
1972705986 | Arin Short | Physical Therapist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
Find all providers in zip 97224 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
1184883381 | Michelle Hannah Cameron | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 | 2008-06-03 |
1043484801 | Aimee Lucinda Pierce | Psychiatry & Neurology | 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 | 2008-04-14 |
1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
1164647061 | Matthew Michael Evans | Psychiatry & Neurology | 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 | 2007-04-16 |
1477670255 | Vivek Unni | Psychiatry & Neurology | Chh, 3303 S.w. Bond Ave., Portland, OR 97239 | 2007-03-25 |
1780711135 | Holly Elaine Hinson | Psychiatry & Neurology | 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 | 2007-02-27 |
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.