DR. RYAN EDWIN CHILDERS (NPI# 1568627594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568627594 |
| Entity Type | Individual |
| Full Name | DR. RYAN EDWIN CHILDERS |
| Credential | M.D. |
| Practice Address |
19250 Sw 90th Ave Tualatin OR 97062-7585 |
| Mailing Address |
847 Ne 19th Ave Suite 300 Portland OR 97232-2684 |
| Practice Telephone | 5036923750 |
| Practice Fax Number | 5036912324 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D74059 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD162161 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 055765000 | 05 | |
| OR | 500678079 | 05 |
| Street Address |
19250 SW 90TH AVE |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167253 | Oregon Clinic, PC | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2006-03-10 |
| 1710497185 | Gabriel Joseph Francetich | Physician Assistant | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2017-10-11 |
| 1922558063 | Gso Equipment Corp | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-10-13 |
| 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 |
| 1699193532 | Justine Hum | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2014-03-28 |
| 1972861599 | Sarah Chungmi Lee | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-05-02 |
| 1639440381 | Nima Motamedi | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-01-25 |
| 1407141765 | Cassandre Piersol | Nurse Practitioner | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2011-06-15 |
| 1114106507 | Swapna Bokka Reddy | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2007-11-01 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1699193532 | Justine Hum | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2014-03-28 |
| 1972861599 | Sarah Chungmi Lee | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-05-02 |
| 1639440381 | Nima Motamedi | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062 | 2012-01-25 |
| 1174679773 | Jeffrey David Duman | Internal Medicine | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003175464 | Arnab Mitra | Internal Medicine | 3181 Sw Sam Jackson Park Road, L461, Oregon Health and Science University, Portland, OR 97239-3098 | 2012-05-04 |
| 1871822767 | Centennial Medical Group, Inc. | Internal Medicine | 3369 Ne Stephens St Ste A, Roseburg, OR 97470-1259 | 2009-12-23 |
| 1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
| 1508001074 | J Scott Gibson Md PC | Internal Medicine | 851 Ne Baker St Ste 3, Mcminnville, OR 97128-4991 | 2008-12-11 |
| 1154584241 | Dana N Hemmati | Internal Medicine | 10000 Se Main St Ste 112, Portland, OR 97216-2441 | 2008-07-08 |
| 1316122708 | Gerald Engstrom | Internal Medicine | 1813 W Harvard Ave Ste 427, Roseburg, OR 97470-8712 | 2008-01-03 |
| 1225224074 | Hester Hiu Ming Choi | Internal Medicine | 3926 Shasta View St, Eugene, OR 97405-5868 | 2007-09-14 |
| 1750587945 | Charles Clark Gabbert II | Internal Medicine | 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 | 2007-06-25 |
| 1457556086 | Marc Karl Binder | Internal Medicine | 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 | 2007-06-14 |
| 1588794135 | Chad Aaron Morse | Internal Medicine | 3521 Nw Samaritan Dr Ste 101, Corvallis, OR 97330-4744 | 2007-03-06 |
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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.