CASSANDRE PIERSOL (NPI# 1407141765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407141765 |
| Entity Type | Individual |
| Full Name | CASSANDRE PIERSOL |
| Credential | ANP-BC |
| Practice Address |
19250 Sw 90th Ave Tualatin OR 97062 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5036923750 |
| Practice Fax Number | 5036912324 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201606106NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
19961 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500767601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19250 Sw 90th Ave, Tualatin, OR 97062 | 5036923750 | 5036912324 |
| 3801 Miranda Ave, Palo Alto, CA 943041207 | 6504935000 |
| Street Address |
19250 SW 90TH AVE |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167253 | Oregon Clinic, PC | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2006-03-10 |
| 1710497185 | Gabriel Joseph Francetich | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2017-10-11 |
| 1922558063 | Gso Equipment Corp | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-10-13 |
| 1518319672 | Tulika Agarwal Malhotra | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-07-12 |
| 1720484850 | Molly Anne Beilby | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2014-11-17 |
| 1699193532 | Justine Hum | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2014-03-28 |
| 1972861599 | Sarah Chungmi Lee | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-05-02 |
| 1639440381 | Nima Motamedi | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-01-25 |
| 1568627594 | Ryan Edwin Childers | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2008-07-18 |
| 1114106507 | Swapna Bokka Reddy | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225313943 | Jamie Ann Lilie | Nurse Practitioner | 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062-8353 | 2011-10-13 |
| 1194800961 | Martha Patrice Geisheker | Nurse Practitioner | 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062-7452 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
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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.