KELVIN KENNETH SNYDER (NPI# 1659399913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659399913 |
| Entity Type | Individual |
| Full Name | KELVIN KENNETH SNYDER |
| Credential | MD |
| Practice Address |
9135 Sw Barnes Rd Suite 763 Portland OR 97225-6601 |
| Practice Telephone | 5032967800 |
| Practice Fax Number | 5042911584 |
| Mailing Telephone | 5032967800 |
| Mailing Fax Number | 5042911584 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 14781 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 101923 | 05 |
| Street Address |
9135 SW BARNES RD SUITE 763 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021753 | Stacy K Lewis | Internal Medicine | 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 | 2005-05-27 |
| 1770068017 | Jason Joy | Occupational Therapist | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2018-10-02 |
| 1578041661 | Jaime Musgrave | Physical Therapist | 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 | 2018-08-01 |
| 1295245629 | Kate Alison O'connor Culligan | Occupational Therapist | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2017-10-12 |
| 1952765885 | Brian Frost | Speech-Language Pathologist | 9135 Sw Barnes Rd, Suite 362, Portland, OR 97225-6646 | 2016-04-06 |
| 1649636648 | Laurel Beth Tor | Nurse Practitioner | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2016-01-06 |
| 1659736940 | Audrey Whitten | Physical Therapist | 9135 Sw Barnes Rd, Suite 361, Portland, OR 97225-6646 | 2015-12-31 |
| 1265824627 | Kaplan & Sautter LLC | Otolaryngology | 9135 Sw Barnes Rd, Suite 963, Portland, OR 97225-6646 | 2015-02-23 |
| 1811394380 | James Connelly | Pharmacist | 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 | 2014-11-29 |
| 1992107544 | Kelli R Harrington-bollenbaugh | Speech-Language Pathologist | 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6646 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| 1801162789 | Gabriel Larson | Pediatrics | 700 S.w. Campus Drive, 7th Floor, Portland, OR 97239 | 2012-03-26 |
| 1376833616 | Ashley Holsen | Pediatrics | 10000 Se Main St Ste 30, Portland, OR 97216-2461 | 2011-04-07 |
| 1477852259 | Kelsey Linde Richardson | Pediatrics | 3181 Sw Sam Jackson Hall Rd, Portland, OR 97239 | 2011-03-20 |
| 1093038986 | Seth M Williams | Pediatrics | 2801 N. Gantenbein Legacy Emanuel Medical Center, Randall Children's Hospital, Portland, OR 97227 | 2010-03-05 |
| 1669600904 | Erica Empey Benthin | Pediatrics | 205 Nw 16th Ave Apt 7, Portland, OR 97209-2648 | 2009-06-25 |
| 1871720136 | Corey Adair Fish | Pediatrics | 6924 Ne Sandy Blvd, Portland, OR 97213-5256 | 2009-06-14 |
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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.