DR. MARK ALDEN CRISLIP (NPI# 1457461022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457461022 |
| Entity Type | Individual |
| Full Name | DR. MARK ALDEN CRISLIP |
| Credential | MD |
| Practice Address |
1015 Nw 22nd R200 Portland OR 97210 |
| Mailing Address |
10347 Se 99th Dr Portland OR 97266-7230 |
| Practice Telephone | 5034138258 |
| Mailing Telephone | 5037744450 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD16614 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1015 NW 22ND R200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548558117 | Jina Tushar Makadia | Internal Medicine | 3181 Sam Jackson Park Road, Mail Code L457, Oregon Health & Science University, Div of Id, Portland, OR 97239-3098 | 2011-07-18 |
| 1417181629 | Phil Holland Alday Jr. | Internal Medicine | 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239-3098 | 2009-05-04 |
| 1851506299 | Melissa Rose Nyendak | Internal Medicine | Oregon Health and Science University, 3181 Sw Sam Jackson Park Road L457, Portland, OR 97239 | 2007-05-11 |
| 1174745418 | Raymond Bracis, Md | Internal Medicine | 1015 Nw 22nd Ave #r200, Portland, OR 97210 | 2007-05-03 |
| 1083758130 | Paul Raymond Cieslak | Internal Medicine | 3007 Ne 53rd Ave, Portland, OR 97213-2439 | 2007-02-19 |
| 1497763916 | Melissa Denise Murphy | Internal Medicine | 3710 Sw Us Veterans' Hospital Road, Portland Va Medical Center Mail Code P3-id, Portland, OR 97239 | 2006-08-03 |
| 1487685038 | Larry James Strausbaugh | Internal Medicine | 3710 Sw Veterans Hospital Road, Portland Va Medical Center (p-3-id), Portland, OR 97239 | 2006-07-05 |
| 1255804936 | France Emilie Roy | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-01-06 |
| 1750743720 | Stephen Anthony Pagkalinawan | Internal Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2016-03-28 |
| 1821482068 | Angela Holly Villamagna | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-03-25 |
| 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.