CHRISTOPHER MICHAEL NELSON (NPI# 1417274010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417274010 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL NELSON |
| Credential | M.D. |
| Practice Address |
18610 Nw Cornell Rd Suite 300 Hillsboro OR 97124-9204 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032169300 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2016-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD176353 | OR | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD176353 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 194795 | 05 | |
| OR | RR MEDICARE (PH&S) | P01383761 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788789 | Christopher Benjamin Nelson | Pharmacist | 2235 W 15th St Ste D, Plano, TX 75075-7435 | 2020-07-24 |
| 1164042511 | Christopher Nelson | Student in an Organized Health Care Education/Training Program | 1632 W 105th St, Chicago, IL 60643-2914 | 2020-04-24 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1235626391 | Christopher Shaun Nelson | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave Ste Med, Rochester, NY 14642-0001 | 2018-04-15 |
| 1770814253 | Christopher G Nelson | Spec/Tech, Pathology | 29 Black Coal Rd, Ft. Washakie, WY 82514 | 2010-01-22 |
| 1225273246 | Christopher G Nelson | Chiropractor | 548 Roanoke Ave, Riverhead, NY 11901-2726 | 2008-12-04 |
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1922041615 | Christopher S Nelson | Anesthesiology | 10706 E Us Highway 36, Suite # 7, Avon, IN 46123-7982 | 2006-06-13 |
| 1003860776 | Christopher Nelson | Psychologist | 2120 E Division St, Mount Vernon, WA 98274-4639 | 2006-05-19 |
| 1982653317 | Christopher Grant Nelson Jr. | Dermatology | 350 6th St S, St Petersburg, FL 33701-4449 | 2006-05-10 |
| Street Address |
18610 NW CORNELL RD SUITE 300 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835048 | Richard Martin Cade | Family Medicine | 18610 Nw Cornell Rd, Ste 101, Hillsboro, OR 97124-9204 | 2005-07-14 |
| 1760887186 | Lauren Allison Stember | Physician Assistant | 18610 Nw Cornell Rd, Hillsboro, OR 97124 | 2014-10-28 |
| 1306174438 | Providence Health & Services - Oregon | Clinic/Center | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2009-12-01 |
| 1801022959 | Andrew P Seaman | Internal Medicine | 18610 Nw Cornell Rd, Ste 101, Hillsboro, OR 97124-9206 | 2009-06-03 |
| 1154555498 | Vanessa Vanderpool | Family Medicine | 18610 Nw Cornell Rd, Suite 101, Hillsboro, OR 97124-9204 | 2009-05-14 |
| 1245481761 | Eric Lee Foote | Physician Assistant | 18610 Nw Cornell Rd, Ste 101, Hillsboro, OR 97124-9206 | 2008-10-02 |
| 1497902274 | Brent L Norris | Physician Assistant | 18610 Nw Cornell Rd, Suite 101, Hillsboro, OR 97124-9204 | 2008-08-22 |
| 1831377175 | Terry Joan Wrobel | Family Medicine | 18610 Nw Cornell Rd, Suite 101, Hillsboro, OR 97124-9206 | 2008-02-08 |
| 1306038427 | Ajay Jagarnath Mohabeer | Preventive Medicine | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2007-08-13 |
| 1851410609 | June A Lee | Pediatrics | 18610 Nw Cornell Rd, Suite 101, Hillsboro, OR 97124-9204 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538138276 | Sekou Carlos Ford | Family Medicine | 18610 Nw Cornell Rd Ste 101, Hillsboro, OR 97124-9206 | 2006-03-15 |
| 1265090666 | Herington Municipal Hospital | Family Medicine | 108 S Main St, Hillsboro, KS 67063-1526 | 2019-05-31 |
| 1811437890 | Tabor College | Family Medicine | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2017-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003085630 | Peter Shelby Bogard Do | Family Medicine | 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527-5788 | 2008-02-28 |
| 1801079074 | Jennifer Dawn Kleinman | Family Medicine | 5704 N Montana Ave, Portland, OR 97217-4643 | 2007-12-11 |
| 1477667053 | M Joshua Haber | Family Medicine | 2401 River Rd Ste 101, Eugene, OR 97404-5412 | 2006-08-19 |
| 1760431175 | Karl Nicholas Kaluza | Family Medicine | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2006-05-10 |
| 1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
| 1356305023 | David N Westerdahl | Family Medicine | 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 | 2006-04-12 |
| 1962470948 | Gregory C Skaggs | Family Medicine | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2006-03-08 |
| 1831165232 | Linda Craska Selby | Family Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754-2562 | 2006-02-24 |
| 1811967235 | Charles W Webb | Family Medicine | 1960 Nw 167th Pl Ste 200, Beaverton, OR 97006-4804 | 2006-01-26 |
| 1063418838 | Craig J Davidson | Family Medicine | 1232 University of Oregon, Eugene, OR 97403-1232 | 2005-06-24 |
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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.