OREGON DEPARTMENT OF CORRECTIONS (NPI# 1659721397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659721397 |
| Entity Type | Organization |
| Organization Name | OREGON DEPARTMENT OF CORRECTIONS |
| Practice Address |
17734 Sw Shasta Trl Tualatin OR 97062-8455 |
| Practice Telephone | 5036911718 |
| Mailing Telephone | 5036911718 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | MR. LINN REY MENZIE (BHS PROGRAM MANAGER) |
| Authorized Official Telephone | 5032806646 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | L4861 | OR | Managed Care Organizations |
| Street Address |
17734 SW SHASTA TRL |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-8455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326570326 | Linn Rey Menzie Sr. | Social Worker | 17734 Sw Shasta Trl, Tualatin, OR 97062-8455 | 2017-03-29 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699943126 | David M. Kao, Mdpc | Preferred Provider Organization | 6370 Sw Borland Rd., Suite 200, Tualatin, OR 97062 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296675 | 6 Degrees Health Dx | Preferred Provider Organization | 5800 Ne Pinefarm Ct Ste 200, Hillsboro, OR 97124-8563 | 2020-05-12 |
| 1366974347 | Kgs Lcsw | Preferred Provider Organization | 843 E Main St Ste 304, Medford, OR 97504-7137 | 2017-03-30 |
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1467842591 | Kevin Plummer Dc PC | Preferred Provider Organization | 1972 Laveta Ln, Eugene, OR 97402-1103 | 2015-01-27 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1538579727 | Qhsa Dba Dr. Bradley J Burket Dmd, Md | Preferred Provider Organization | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2014-04-28 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 1255761524 | Willamette Dental | Preferred Provider Organization | 4925 Sw Griffith Dr., Beaverton, OR 97005 | 2013-11-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OREGON DEPARTMENT OF CORRECTIONS.
| 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.