VIKTORIYA MIKHAYLOVNA DIMAKU (NPI# 1619404316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619404316 |
| Entity Type | Individual |
| Full Name | VIKTORIYA MIKHAYLOVNA DIMAKU |
| Other Name | VIKTORIYA MIKHAYLOVNA CHEPEL |
| Credential | FNP |
| Practice Address |
7689 Sw Capitol Hwy Portland OR 97219-2475 |
| Mailing Address |
6125 Sw Boundary St Portland OR 97221-1019 |
| Practice Telephone | 9713193562 |
| Practice Fax Number | 8777710997 |
| Mailing Telephone | 9713193499 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201703002NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7689 SW CAPITOL HWY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073843116 | Marlin Douglas Starr | Massage Therapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-01-13 |
| 1538633094 | Jessi Gradin | Chiropractor | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2019-01-17 |
| 1871017723 | Iris Briand | Dietitian, Registered | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2017-08-02 |
| 1447594023 | Aleshia K Lacey | Mechanotherapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2012-11-20 |
| 1821367525 | Stephanie Phinney Durham | Naturopath | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2011-12-26 |
| 1447541115 | Desiree Johnson | Massage Therapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2011-04-28 |
| 1013214881 | Vivacity Health, LLC | Clinic/Center | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2011-02-14 |
| 1689983108 | Multnomah Family Care Center | Clinic/Center | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-09-30 |
| 1457660334 | Ai Zen LLC | Massage Therapist | 7689 Sw Capitol Hwy, Portland, OR 97219-2475 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| 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.