DR. JASON DUKMIN SOH (NPI# 1689092264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689092264 |
| Entity Type | Individual |
| Full Name | DR. JASON DUKMIN SOH |
| Credential | MD |
| Practice Address |
2935 Sw Cedar Hills Blvd Beaverton OR 97005-1342 |
| Mailing Address |
Po Box 6149 Beaverton OR 97007-0149 |
| Practice Telephone | 5033526000 |
| Practice Fax Number | 5033526081 |
| Mailing Telephone | (503) 352-8642 |
| Mailing Fax Number | 5033528658 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2017-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD182163 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2935 SW CEDAR HILLS BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948276 | Jennifer Beckham Mcelravey | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2005-08-02 |
| 1245723287 | Jennifer Stanislaw | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 | 2018-06-13 |
| 1306336078 | Sarah Larimer | Dietitian, Registered | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-05-17 |
| 1700374527 | Monica Calko | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-26 |
| 1861980161 | Gayle Ollinger | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-23 |
| 1427560663 | Megan Manley | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2017-10-27 |
| 1649628751 | Margaret Sease | Family Medicine | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2016-05-31 |
| 1144628264 | Juan Gabriel Lopez | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-12-06 |
| 1538583471 | Joana Silva | Nurse Practitioner | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| 1821412768 | Paul Raymond Mcgown | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1558385971 | Marcus Christopher Luce | Pediatrics | 16280 Nw Bethany Ct, Beaverton, OR 97006-4887 | 2006-07-27 |
| 1407840499 | Gale A Rydell | Pediatrics | 1960 Nw 167th Pl, Ste 100, Beaverton, OR 97006 | 2005-09-06 |
| 1235131624 | Dean A Moshofsky | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2005-08-15 |
| 1528066859 | Pediatric Associates of The Northwest, PC | Pediatrics | 14795 Sw Murray Schools Dr., Suite 121, Beaverton, OR 97007 | 2005-07-11 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1265872923 | Monica Saladik | Pediatrics | 1960 Nw 167th Pl Ste 103, Beaverton, OR 97006 | 2013-06-26 |
| 1053630491 | Careoregon Community Health, LLC | Pediatrics | 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006-4584 | 2010-05-25 |
| 1407173040 | Kimberly Ann Cummings | Pediatrics | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2010-04-21 |
| 1417151382 | Sara Murdick | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2007-06-13 |
| 1306047881 | Thomas Jeffrey Anderson II | Pediatrics | 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006-7357 | 2007-05-30 |
| Find all providers in BEAVERTON | ||||
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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.