JUDY MARVIN (NPI# 1669583100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669583100 |
| Entity Type | Individual |
| Full Name | JUDY MARVIN |
| Credential | MD |
| Practice Address |
9205 Sw Barnes Rd Portland OR 97225-6603 |
| Mailing Address |
6600 Sw 105th Ave Suite 205 Beaverton OR 97008-8832 |
| Practice Telephone | 5036013615 |
| Practice Fax Number | 5036460991 |
| Mailing Telephone | 5036013615 |
| Mailing Fax Number | 5036460991 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD26198 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
9205 SW BARNES RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041526 | Nate D Quilici | Specialist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2005-05-23 |
| 1487251773 | Leah Burke Chapman | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-10-08 |
| 1366054819 | Jennifer Haas Pierron | Registered Nurse | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-08-17 |
| 1831717974 | Steffany Bixby | Dietitian, Registered | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-07-06 |
| 1477174076 | Nathaniel Edwards | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1801417407 | Karissa Kunihira | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1720609324 | Jakob Feeney | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1710508320 | Banu Ramachandran | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-05 |
| 1083235964 | Amy Pohodich | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| 1740801620 | Steven C Freeman | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2020-05-01 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863761 | Katherine A Holloway | Obstetrics & Gynecology | 4037 Ne 8th Ave, Portland, OR 97212-1208 | 2007-10-26 |
| 1922110972 | Audrey Ellen Tarr | Obstetrics & Gynecology | 1040 Nw 22nd Ave, Suite 600, Portland, OR 97210-3041 | 2006-08-31 |
| 1386935609 | Carmen M Doom | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 | 2011-04-20 |
| 1295812402 | Jason Naoki Hashima | Obstetrics & Gynecology | 9427 Sw Barnes Rd, Mother Joseph's Plaza, Portland, OR 97225-6652 | 2006-11-01 |
| 1467553461 | Robert H. Warnock | Obstetrics & Gynecology | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497850192 | Gregory L Gent | Obstetrics & Gynecology | 620 Se Oak St Ste E, Hillsboro, OR 97123-4160 | 2006-09-14 |
| 1730185141 | John Anthony Murphy | Obstetrics & Gynecology | 2450 Ne Mary Rose Pl Ste 220, Bend, OR 97701-7133 | 2005-06-22 |
| 1437601234 | Nicholas Mills Md LLC | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-10-27 |
| 1871989178 | Casey Peyton Nicol | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2015-04-13 |
| 1790120574 | Rachel Guild | Obstetrics & Gynecology | 1700 E 19th St, The Dalles, OR 97058-3317 | 2013-05-07 |
| 1396962007 | Samaritan North Lincoln Hospital | Obstetrics & Gynecology | 3100 Ne 28th St Ste C, Lincoln City, OR 97367-4524 | 2007-04-20 |
| 1093834392 | Katherine L. Hilsinger Md PC | Obstetrics & Gynecology | 2580 Daggett Ave, Klamath Falls, OR 97601-1127 | 2007-03-28 |
| 1336235019 | John Richard Hannig | Obstetrics & Gynecology | 875 Oak St Se, Salem, OR 97301-3975 | 2006-10-04 |
| 1023076890 | Frederick G Schmidt | Obstetrics & Gynecology | 1508 Division St, Suite 205, Oregon City, OR 97045-1582 | 2006-05-02 |
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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.