CARMEN M DOOM (NPI# 1386935609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386935609 |
| Entity Type | Individual |
| Full Name | CARMEN M DOOM |
| Credential | M.D., PH.D. |
| Practice Address |
1130 Nw 22nd Ave Suite 520 Portland OR 97210 |
| Mailing Address |
1130nw22nd Ave 520 Portland OR 97210-2976 |
| Practice Telephone | 5032744800 |
| Practice Fax Number | 5032744917 |
| Mailing Telephone | 5032744800 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD171507 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1130 NW 22ND AVE SUITE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677445 | Evonne Maria Kandas | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2005-05-24 |
| 1346756269 | Erin P O'hollaren | Registered Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-12-15 |
| 1366967879 | Vladimir Nikolayevich Chernyshev | Licensed Practical Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-08-04 |
| 1659802650 | Paula J. Staab | Dietitian, Registered | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2017-03-22 |
| 1447604566 | Lori Eckel | Social Worker | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2016-04-14 |
| 1245660414 | Margarita Damaso-sahari | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2013-11-25 |
| 1932464492 | Complete Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | 1130 Nw 22nd Ave, Suite 615, Portland, OR 97210-2900 | 2012-07-11 |
| 1033478409 | Megan N Stack | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2012-05-04 |
| 1730455304 | Nancy M Oswald | Social Worker | 1130 Nw 22nd Ave, Suite 345, Portland, OR 97210-2900 | 2012-03-28 |
| 1992090112 | Onyekachi Ogbonna | Internal Medicine | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863761 | Katherine A Holloway | Obstetrics & Gynecology | 4037 Ne 8th Ave, Portland, OR 97212-1208 | 2007-10-26 |
| 1922110972 | Audrey Ellen Tarr | Obstetrics & Gynecology | 1040 Nw 22nd Ave, Suite 600, Portland, OR 97210-3041 | 2006-08-31 |
| 1295812402 | Jason Naoki Hashima | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Mother Joseph's Plaza, Portland, OR 97225-6652 | 2006-11-01 |
| 1467553461 | Robert H. Warnock | Obstetrics & Gynecology | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-09-25 |
| 1669583100 | Judy Marvin | Obstetrics & Gynecology | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497850192 | Gregory L Gent | Obstetrics & Gynecology | 620 Se Oak St Ste E, Hillsboro, OR 97123-4160 | 2006-09-14 |
| 1730185141 | John Anthony Murphy | Obstetrics & Gynecology | 2450 Ne Mary Rose Pl Ste 220, Bend, OR 97701-7133 | 2005-06-22 |
| 1437601234 | Nicholas Mills Md LLC | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-10-27 |
| 1871989178 | Casey Peyton Nicol | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2015-04-13 |
| 1790120574 | Rachel Guild | Obstetrics & Gynecology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2013-05-07 |
| 1396962007 | Samaritan North Lincoln Hospital | Obstetrics & Gynecology | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2007-04-20 |
| 1093834392 | Katherine L. Hilsinger Md PC | Obstetrics & Gynecology | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2007-03-28 |
| 1336235019 | John Richard Hannig | Obstetrics & Gynecology | 875 Oak St Se, Salem, OR 97301-3975 | 2006-10-04 |
| 1023076890 | Frederick G Schmidt | Obstetrics & Gynecology | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2006-05-02 |
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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.