DR. MICHAEL PHILIP RESNICK (NPI# 1467545996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467545996 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PHILIP RESNICK |
| Credential | MD |
| Practice Address |
3181 Ssam Jackson Park Rd Portland OR 97207 |
| Mailing Address |
3491 Nw Raleigh St Portland OR 97210 |
| Practice Telephone | 5032208262 |
| Practice Fax Number | 3607371419 |
| Mailing Telephone | 5032208262 |
| Mailing Fax Number | 3607371419 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
09333 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164575734 | Michael Resnick | Dentist | 3349 Water Oak St, Fort Lauderdale, FL 33312-6391 | 2007-01-18 |
| 1043240286 | Michael J Resnick | Dentist | 306 Hillside Drive South, New Hyde Park, NY 11590 | 2006-07-04 |
| 1073060802 | Michael Resnick | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2016-09-09 |
| 1700224326 | Michael Laurence Resnick | Family Medicine | 851 S Rampart Blvd, S. 220, Las Vegas, NV 89145-4882 | 2013-06-05 |
| 1336170638 | Michael A. Resnick | Internal Medicine | 9501 Roosevelt Blvd, Suite 103, Philadelphia, PA 19114-1025 | 2006-07-05 |
| 1003808841 | Michael B Resnick | Obstetrics & Gynecology | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 | 2005-08-18 |
| 1386636058 | Michael I Resnick Sr. | Orthopaedic Surgery | 327 Route 59, Airmont, NY 10952 | 2005-08-18 |
| Street Address |
3181 SSAM JACKSON PARK RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134285620 | Natalia Hanavan | Orthotist | 3710 Sw Us Veteran's Hospital Rd, Portland, OR 97207 | 2006-12-29 |
| 1659435915 | Mary Catherine Russell | Nurse Practitioner | 3710 Sw Us Veterans Hosp Rd, Portland, OR 97207 | 2006-12-21 |
| 1609969435 | Patricia A Sosnovec | Nurse Practitioner | 3710 Sw Us Veterans Hospital Road V3-mhd, Portland, OR 97207 | 2006-10-02 |
| 1447358866 | Alison Elaine Hopkins | Nurse Practitioner | 3710 Sw Us, Veterans Hospital Road, Portland, OR 97207 | 2006-09-20 |
| 1518060805 | Michael Vernon Eddington | Social Worker | Va Medical Center(v3cnh), Sam Jackson Blvd, Portland, OR 97207 | 2006-09-05 |
| 1194827493 | Charlotte Ann Sunderland | Nurse Practitioner | Veterans Medical Center, P3 Card, Division of Cardiolog, Us Veterans Hospital Road, Portland, OR 97207 | 2006-09-05 |
| 1134237621 | Linda Louise Humphrey | Internal Medicine | 3710 Sw Us Vetserans Hospital Rd, Portland, OR 97207 | 2006-08-26 |
| 1821105222 | Gina L Ortola | Psychologist | Portland Vamc, 3710 Sw Us Veterans Hospital Road, Portland, OR 97207 | 2006-08-23 |
| 1841307238 | Matthew Peter Kaul | Physical Medicine & Rehabilitation | 3710 Sw Us Veteran's Hospital Rd., Portland, OR 97207 | 2006-08-23 |
| 1033122825 | Clara F Chambers | Pharmacist | 3710 Us Veterans Road Sw, Vancouver Pharmacy V-2phar, Portland, OR 97207 | 2006-08-14 |
| Find all providers in zip 97207 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508091281 | Jonathan Carl Fellers | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2009-05-25 |
| 1295875276 | Anthony J Kozma | Psychiatry & Neurology | 70 Center St Ste G7, Portland, ME 04101-3935 | 2007-02-07 |
| 1497802383 | Gilbert M. Simas | Psychiatry & Neurology | 11389 Nw Pumpkin Ct, Portland, OR 97229-1178 | 2007-01-04 |
| 1457823817 | Jonathan C Fellers Md Pa LLC | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2018-12-26 |
| 1982846234 | Eve Leah Klein | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, L475, Portland, OR 97239-3011 | 2009-04-01 |
| 1265464614 | Edward A Mccarthy | Psychiatry & Neurology | 144 State St, Portland, ME 04101-3776 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437388261 | Wendy J. Linker | Psychiatry & Neurology | 17685 65th Ave Ste 300, Lake Oswego, OR 97035-7800 | 2009-07-14 |
| 1699988386 | Robert E Buckler | Psychiatry & Neurology | 414 N Meridian St # 6275, Newberg, OR 97132-2697 | 2007-05-08 |
| 1548329055 | Marvin David Seppala | Psychiatry & Neurology | 1901 Esther St, Newberg, OR 97132-9529 | 2006-12-08 |
| 1073629010 | Todd Nicholas Palumbo | Psychiatry & Neurology | 10700 Sw Beaverton Hillsdale Hwy Ste 350, Beaverton, OR 97005-4737 | 2006-08-22 |
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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.