CURTIS RICHARD THIESSEN (NPI# 1417960956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417960956 |
| Entity Type | Individual |
| Full Name | CURTIS RICHARD THIESSEN |
| Credential | MD |
| Practice Address |
19185 Sw 90th Ave Tualatin OR 97062-7558 |
| Mailing Address |
20700 Sw Kawanda Ct Tualatin OR 97062-9598 |
| Practice Telephone | 5038857300 |
| Mailing Telephone | 5036928219 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD00024978 | WA | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD14390 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
19185 SW 90TH AVE |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851364350 | Karen Anne Mcclish | Nurse Practitioner | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-02-07 |
| 1164029120 | Malika Waschmann | Student in an Organized Health Care Education/Training Program | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2020-10-02 |
| 1396284840 | Shawn Kwon-chang | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2017-02-16 |
| 1962945329 | Rick Baldwin | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-12-02 |
| 1790236875 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-10-24 |
| 1003361072 | Pam K Cockrell | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-08-19 |
| 1053733352 | Sarah Breeze | Speech-Language Pathologist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2014-01-06 |
| 1164850301 | Kaiser Permanente | Health Maintenance Organization | 19185 Sw 90th Ave, Addiction Medicine, Tualatin, OR 97062-7558 | 2013-10-25 |
| 1548695372 | Theresa Nguyen | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2013-09-11 |
| 1962845248 | Andrea Marie Pahukula | Occupational Therapist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2013-04-16 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205928132 | Joan Marie Browning | Preventive Medicine | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197471 | Naviatric LLC | Preventive Medicine | 3235 Nw Saltzman Rd, Portland, OR 97229-3950 | 2020-02-28 |
| 1164763355 | Healthstat On-site Clinic/saif | Preventive Medicine | 440 Church St Se, Salem, OR 97312-1001 | 2013-03-13 |
| 1194959502 | Robert P Campbell | Preventive Medicine | 2034 Ne Sandy Blvd, Suite C, Portland, OR 97232-3199 | 2009-05-13 |
| 1386810026 | Michael Boivin | Preventive Medicine | 78798 Ordnance Rd Bldg 11, Hermiston, OR 97838-9108 | 2008-05-02 |
| 1881025823 | Healthstat On-site Clinic/saif 2nd Location | Preventive Medicine | 1500 Sw 1st Ave, Suite 200, Portland, OR 97201-5815 | 2013-12-02 |
| 1922399161 | Brooke Nicole Maylie | Preventive Medicine | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2011-04-21 |
| 1942430699 | Donald Gary Rischitelli | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 101, Portland, OR 97223-5442 | 2009-07-15 |
| 1043357742 | Kathy Y Chang | Preventive Medicine | 3449 N Anchor St, Suite 500, Portland, OR 97217-7679 | 2007-01-31 |
| 1457401176 | Carol Elizabeth Gunn | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 101, Portland, OR 97223-5442 | 2007-01-12 |
| 1578629697 | Gina Man-mui Sheedy | Preventive Medicine | 1002 Bellevue St Se, Salem, OR 97301-4006 | 2007-01-01 |
| 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.