EMILY JUSTUSSON RIDDLE


Address: 3303 Sw Bond Ave, Portland, OR 97239-4501
Phone: 5034947772

EMILY JUSTUSSON RIDDLE (NPI# 1457767584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457767584
Entity Type Individual
Full Name EMILY JUSTUSSON RIDDLE
Other Name EMILY ANN MELOCHE JUSTUSSON
Credential MD
Practice Address 3303 Sw Bond Ave
Portland
OR 97239-4501
Mailing Address 743 Sw Maplecrest Ct
Portland
OR 97219-6407
Practice Telephone 5034947772
Mailing Telephone 8452426856
Enumeration Date 2014-07-09
Last Update Date 2019-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD195374 OR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
740 S Limestone St, L-441 Kentucky Clinic, Lexington, KY 405360001 8593235661
3333 Burnet Ave, Location E, Floor4, Mlc 2015, Cincinnati, OH 45229 5136364222 5136363980

Other Providers EMILY RIDDLE

NPI Name Taxonomy Address Enumeration
1528696077 Emily Riddle Dietitian, Registered 7 Hickory Trl, Ithaca, NY 14850-9660 2020-03-31
1609020957 Emily M Riddle Counselor 119 N Barr St, Centralia, MO 65240-1417 2008-11-13

Office Location

Street Address 3303 SW BOND AVE
City PORTLAND
State OR
Zip Code 97239-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639174287 Dawn F. Tilgner Nurse Practitioner 3303 Sw Bond Ave, Portland, OR 97239-4501 2005-06-19
1376164582 Marisa Palandri Occupational Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-28
1194345629 Margaret Alva Mcreynolds Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-24
1104446392 Jennifer Crawford Occupational Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-17
1093335275 Mehak Noorani Speech-Language Pathologist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-17
1497374185 Ruth Semon Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-13
1649899675 Kristin Moore Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-09
1821627266 Mollie Ann Suits Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-07
1801425269 Andrea Susan Serdar Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
1508495037 Chante Noel Larlee Physical Therapist 3303 Sw Bond Ave, Portland, OR 97239-4501 2020-04-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750739132 Neil William Douglas Thomas Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 2016-05-26
1205283462 Candice Kam Psychiatry & Neurology 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 2016-05-18
1881937050 Michael Saul Farris Psychiatry & Neurology Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 2013-04-05
1831460377 Dennis B Smith Psychiatry & Neurology 827 Nw 25th Ave, Portland, OR 97210-3808 2012-01-13
1184883381 Michelle Hannah Cameron Psychiatry & Neurology 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 2008-06-03
1043484801 Aimee Lucinda Pierce Psychiatry & Neurology 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 2008-04-14
1083800106 Alyson Maloy Psychiatry & Neurology 449 Forest Ave # 214, Portland, ME 04101-2029 2007-09-21
1164647061 Matthew Michael Evans Psychiatry & Neurology 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 2007-04-16
1477670255 Vivek Unni Psychiatry & Neurology Chh, 3303 S.w. Bond Ave., Portland, OR 97239 2007-03-25
1780711135 Holly Elaine Hinson Psychiatry & Neurology 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 2007-02-27
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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