YASODHA R GOPAL (NPI# 1699771956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699771956 |
| Entity Type | Individual |
| Full Name | YASODHA R GOPAL |
| Credential | M.D. |
| Practice Address |
2525 Nw Lovejoy St Ste 200 Portland OR 97210-2863 |
| Mailing Address |
9119 Nw Mckenna Dr Portland OR 97229-8039 |
| Practice Telephone | 5032270671 |
| Practice Fax Number | 5032270676 |
| Mailing Telephone | 5032976409 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
MD23313 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287394 | 05 |
| Street Address |
2525 NW LOVEJOY ST STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022587 | Irvin Lewis Handelman | Ophthalmology | 2525 Nw Lovejoy St, Ste 100, Portland, OR 97210-2861 | 2005-06-13 |
| 1356832661 | Genesis Renee Helms | Physical Therapist | 2525 Nw Lovejoy St, Ste 202, Portland, OR 97210-2863 | 2018-05-22 |
| 1023473196 | Kerry Gould | Acupuncturist | 2525 Nw Lovejoy St, Ste 202, Portland, OR 97210-2859 | 2015-12-16 |
| 1154709137 | Right As Rain Chiropractic LLC | Chiropractor | 2525 Nw Lovejoy St, Suite 202, Portland, OR 97210-2859 | 2015-05-11 |
| 1841689551 | Jeremy Matthew Ryan Katz | Chiropractor | 2525 Nw Lovejoy St, Portland, OR 97210-2859 | 2015-01-19 |
| 1821420803 | Bryan Lang | Physical Therapist | 2525 Nw Lovejoy St, 205, Portland, OR 97210-2859 | 2013-08-01 |
| 1306191663 | Justine Cosman | Physical Therapist | 2525 Nw Lovejoy St, Suite 205, Portland, OR 97210-2859 | 2012-07-23 |
| 1043592421 | Sarah Stewart Hoagland | Counselor | 2525 Nw Lovejoy St, Suite 407, Portland, OR 97210-2859 | 2011-09-13 |
| 1083994867 | Center for Ocular Prosthetics LLC | Specialist | 2525 Nw Lovejoy St, Ste 306, Portland, OR 97210-2864 | 2011-08-24 |
| 1790012698 | Medical Evaluations of Oregon-washington | Legal Medicine | 2525 Nw Lovejoy St, Suite 400, Portland, OR 97210-2859 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156101 | Pace Pediatric Therapy, Inc. | Physical Therapist | 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 | 2020-05-27 |
| 1164598462 | Joy Danielle Shank | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2006-11-28 |
| 1861453979 | Therapy Solutions for Kids, LLC | Physical Therapist | 5200 Sw Macadam Ave, Portland, OR 97239-6103 | 2006-03-29 |
| 1366998254 | Cressa Elizabeth Schuster | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-08-30 |
| 1851845440 | Stephanie Williams | Physical Therapist | 9155 Sw Barnes Rd, Gerry Frank Center for Children, Portland, OR 97225-6625 | 2016-08-11 |
| 1184178725 | Kathryn Knudsen | Physical Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-11 |
| 1063966794 | Jennifer J Rosoff | Physical Therapist | 9155 Sw Barnes Rd, Portland, OR 97225-6625 | 2016-08-10 |
| 1053682419 | Vicki Belinda Vadas | Physical Therapist | 196 Allen Ave, Portland, ME 04103-3711 | 2012-01-17 |
| 1184932659 | Kay Throckmorton | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2010-09-18 |
| 1689982126 | Sally Marie Moeggenberg | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2010-09-17 |
| 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.