MS. DORI M MACDONALD (NPI# 1568519684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568519684 |
Entity Type | Individual |
Full Name | MS. DORI M MACDONALD |
Credential | P.A. |
Practice Address |
19185 Sw 90th Ave Tualatin OR 97062-7558 |
Practice Telephone | 5038857300 |
Mailing Telephone | 5038857300 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00313 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OREGON BOARD LICENSE | PA00313 | 01 |
Street Address |
19185 SW 90TH AVE |
City | TUALATIN |
State | OR |
Zip Code | 97062-7558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851364350 | Karen Anne Mcclish | Nurse Practitioner | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-02-07 |
1164029120 | Malika Waschmann | Student in an Organized Health Care Education/Training Program | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2020-10-02 |
1396284840 | Shawn Kwon-chang | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2017-02-16 |
1962945329 | Rick Baldwin | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-12-02 |
1790236875 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-10-24 |
1003361072 | Pam K Cockrell | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2016-08-19 |
1053733352 | Sarah Breeze | Speech-Language Pathologist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2014-01-06 |
1164850301 | Kaiser Permanente | Health Maintenance Organization | 19185 Sw 90th Ave, Addiction Medicine, Tualatin, OR 97062-7558 | 2013-10-25 |
1548695372 | Theresa Nguyen | Pharmacist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2013-09-11 |
1962845248 | Andrea Marie Pahukula | Occupational Therapist | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2013-04-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
Find all providers in zip 97062 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518319672 | Tulika Agarwal Malhotra | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-07-12 |
1720484850 | Molly Anne Beilby | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2014-11-17 |
1851793236 | Anita R Cintron Rivera | Physician Assistant | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062 | 2014-09-17 |
1033206842 | Mary E. Morrison | Physician Assistant | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
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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.