DR. RAISA PREMYSLER (NPI# 1407908650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407908650 |
Entity Type | Individual |
Full Name | DR. RAISA PREMYSLER |
Credential | MD |
Practice Address |
426 Sw Stark St 8th Floor Portland OR 97204-2347 |
Mailing Address |
421 Sw Oak St 210 Portland OR 97204-1817 |
Practice Telephone | 5039883674 |
Practice Fax Number | 5039886905 |
Mailing Telephone | 5039883674 |
Mailing Fax Number | 5039886905 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2009-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | MD15738 | OR | Allopathic & Osteopathic Physicians |
Street Address |
426 SW STARK ST 8TH FLOOR |
City | PORTLAND |
State | OR |
Zip Code | 97204-2347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730158890 | Debby Parrish | Pharmacist | 426 Sw Stark St, 4th Floor, Portland, OR 97204-2347 | 2006-03-14 |
1619323102 | Ebony Klinger | Dental Hygienist | 426 Sw Stark St, 9th Floor, Portland, OR 97204-2303 | 2016-05-13 |
1255720181 | Aviel Forster | Social Worker | 426 Sw Stark St, 5th Floor, Portland, OR 97204-2303 | 2015-01-15 |
1518233766 | Thomas Lucien Jeanne | Preventive Medicine | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 | 2012-03-31 |
1174813083 | Julie Lueker | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-12 |
1326338674 | Kathrine Segnitz | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-07 |
1073802559 | Teresa Blanshine | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
1548559107 | Mary Linn | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
1861781346 | Tuyet-anh Ann Tran | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-05 |
1124317649 | Jennifer Tujo | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
Find all providers in zip 97204 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
1336697143 | Rita Lawler | General Practice | 8353 Se Clatsop Ct, Portland, OR 97266-6159 | 2016-09-21 |
1235526849 | Hollis Lule Augee | General Practice | 5151 S.w. 88th Ave., Portland, OR 97225-1717 | 2015-04-21 |
1093134496 | Red Leaf Natural Health Clinic | General Practice | 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 | 2014-04-14 |
1861770190 | Jeffrey Owen Pentecost | General Practice | 3574 Se Harold Ct, Portland, OR 97202-4344 | 2011-08-03 |
1255651592 | Nic Group Inc | General Practice | 8383 Ne Sandy Blvd Ste 320dd, Portland, OR 97220-4968 | 2010-06-09 |
1619296985 | Thcf | General Practice | 105 Se 18th Ave, Portland, OR 97214-1559 | 2010-05-25 |
1518106640 | Keith C Klopfer | General Practice | 1601 Sw Pendleton St, Portland, OR 97239-2619 | 2009-02-12 |
1275793424 | Harriet Cooke | General Practice | 2929 Sw Multnomah Blvd Ste 301, Portland, OR 97219-4072 | 2008-06-11 |
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.