HANNAH FAE AULTMAN (NPI# 1447593967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447593967 |
| Entity Type | Individual |
| Full Name | HANNAH FAE AULTMAN |
| Credential | M.D. |
| Practice Address |
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933 |
| Practice Telephone | 5032145200 |
| Practice Fax Number | 5039066613 |
| Mailing Telephone | 5032145200 |
| Mailing Fax Number | 5039066613 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD192931 | OR | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD192931 | OR | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD192931 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON MEDICAL LICENSE | 192931 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14795 Sw Murray Scholls Dr Ste 109, Beaverton, OR 970079230 | 5039064301 | 5039066613 |
| 5841 S Maryland Ave # Mc3079, Chicago, IL 60637 | 7738343531 |
| Street Address |
11782 SW BARNES RD STE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639284714 | Payton Alan Haynes | Specialist/Technologist | 11782 Sw Barnes Rd Ste 300, The Orthopedic & Fracture Clinic, Portland, OR 97225-5933 | 2006-08-20 |
| 1164037065 | Kelsey Marie Lavaute | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2020-09-09 |
| 1649835273 | Kevin Quangkien Mai | Occupational Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2019-05-08 |
| 1871050153 | Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2019-02-22 |
| 1942712047 | Heath L Meir | Physician Assistant | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2017-10-30 |
| 1336650159 | Kara M Beasley | Physician Assistant | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2017-10-19 |
| 1902242506 | Jeana Lyn Summers | Neuromusculoskeletal Medicine & OMM | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2013-05-22 |
| 1720303308 | Richard Douglas Southgate | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2010-04-07 |
| 1891020673 | Jared Rickard Jones | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2009-10-12 |
| 1780812552 | Ashley H. Carpenter | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477784791 | C.todd Woolley Md PC | Orthopaedic Surgery | 2222 Nw Lovejoy St Ste 401, Portland, OR 97210-5102 | 2009-08-04 |
| 1306130398 | Youssra Marjoua | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2011-06-07 |
| 1801125521 | Lucie Krenek | Orthopaedic Surgery | 3500 N Interstate Ave, Portland, OR 97227-1196 | 2009-12-08 |
| 1326168261 | Gary Kegel | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Oregon Health and Sciences, Dept. of Orthopaedics, Portland, OR 97239-3011 | 2007-03-31 |
| 1063575355 | Kathryn Heidi Hanna | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102 | 2006-12-18 |
| 1619080595 | Wendy M Hughes | Orthopaedic Surgery | 3710 Sw Us Veterans Hospital Rd, Portland Va Medical Center -- P3pl, Portland, OR 97239-2964 | 2006-08-16 |
| 1285656025 | Mark James Buehler | Orthopaedic Surgery | 5050 Ne Hoyt, Ste 660, Portland, OR 97213-2990 | 2006-07-24 |
| 1144292152 | Jerry E Nye | Orthopaedic Surgery | 2222 Nw Lovejoy, Ste 401, Portland, OR 97210 | 2006-02-03 |
| 1790785624 | John T Chance | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912591 | James R. Verheyden | Orthopaedic Surgery | 2200 Ne Neff Rd., Ste. 200, Bend, OR 97701 | 2005-06-20 |
| 1831192749 | David M Appleby | Orthopaedic Surgery | 702 Sw Ramsey #112, Grants Pass, OR 97527-5859 | 2005-05-24 |
| 1740842467 | Craig T Gillis Do PC | Orthopaedic Surgery | 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 | 2019-07-02 |
| 1356784847 | Christopher William Healy | Orthopaedic Surgery | 2200 Ne Neff Rd Ste 200, Bend, OR 97701 | 2013-04-15 |
| 1053669606 | Upper Hand Orthopaedics, P.C. | Orthopaedic Surgery | 2797 Nw 9th St, Corvallis, OR 97330-3857 | 2012-08-29 |
| 1104184415 | Aaron Isamu Karlen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301 | 2012-04-25 |
| 1336406354 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 607 Se Jefferson St, Dallas, OR 97338 | 2012-04-16 |
| 1588955314 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2011-04-27 |
| 1639306723 | Jenna Godfrey | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-06-16 |
| 1053551697 | Mid-columbia Medical Center | Orthopaedic Surgery | 551 Lone Pine Blvd, The Dalles, OR 97058 | 2009-02-23 |
| 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.