SUVARNA REDDY PALLA (NPI# 1558311688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558311688 |
| Entity Type | Individual |
| Full Name | SUVARNA REDDY PALLA |
| Credential | M.D. |
| Practice Address |
6640 Sw Redwood Ln Portland OR 97224-7187 |
| Practice Telephone | 5036207358 |
| Practice Fax Number | 5039242260 |
| Mailing Telephone | 5037207358 |
| Mailing Fax Number | 5036246144 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD21274 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 136352 | 05 |
| Street Address |
6640 SW REDWOOD LN |
| City | PORTLAND |
| State | OR |
| Zip Code | 97224-7187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713188 | Stacy Marie Rudy | Physician Assistant | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2015-02-27 |
| 1538582903 | Haley Gail Trontel | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224 | 2014-01-21 |
| 1750656161 | Michael Ryan Shrifter | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-03-19 |
| 1023380979 | Miles Percy Holland | Nurse Practitioner | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-02-07 |
| 1780848499 | Ann Marie Paulsen | Internal Medicine | 6640 Sw Redwood Ln, Portland, Portland, OR 97224-7187 | 2008-07-11 |
| 1831362482 | Arete Nw LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-04-03 |
| 1740459478 | Arete Nw, LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-02-27 |
| 1366642746 | Brooke M Madden | Psychiatry & Neurology | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-07-23 |
| 1699977405 | Sheilla Treacy Ellsworth | Physical Therapist | 6640 Sw Redwood Ln, Suite 300, Portland, OR 97224-7187 | 2007-06-04 |
| 1972705986 | Arin Short | Physical Therapist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| 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.