OREGON SPORTS MEDICINE ASSOCIATES (NPI# 1700151065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700151065 |
Entity Type | Organization |
Organization Name | OREGON SPORTS MEDICINE ASSOCIATES |
Other Organization Name | SPORTS MEDICINE OREGON |
Practice Address |
909 Sw 18th Ave Portland OR 97205-1705 |
Mailing Address |
7300 Sw Childs Rd Suite B Tigard OR 97224-7772 |
Practice Telephone | 5036928700 |
Practice Fax Number | 5036928710 |
Mailing Telephone | 5036928700 |
Mailing Fax Number | 5036928710 |
Enumeration Date | 2012-03-19 |
Last Update Date | 2012-04-19 |
Authorized Official Name | DR. JONATHAN GREENLEAF (PRESIDENT) |
Authorized Official Telephone | 5036928700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Sports Medicine Oregon | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093081770 | Oregon Sports Medicine Associates | Orthopaedic Surgery | 7300 Sw Childs Rd, Suite B, Tigard, OR 97224-7772 | 2012-03-28 |
1487929741 | Oregon Sports Medicine Associates | Orthopaedic Surgery | 29345 Sw Town Center Loop E, Suite 211, Wilsonville, OR 97070-8486 | 2012-03-19 |
1093713729 | Oregon Sports Medicine Associates | Specialist | 7300 Sw Childs Rd, Tigard, OR 97224-7713 | 2005-07-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | OREGON SPORTS MEDICINE ASSOCIATES, P.C. | 7300 Sw Childs Rd Ste B, Tigard, OR 97224 |
Washington State Corporations | OREGON SPORTS MEDICINE ASSOCIATES, P.C. | 805 Broadway Ste 130, Vancouver, WA 98660 |
Street Address |
909 SW 18TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97205-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629046602 | Rebecca D Fedie | Physical Therapist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2006-03-08 |
1679052930 | Daryl Ewing | Physical Therapist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2018-08-08 |
1124474002 | Oliya Yegorov | Speech-Language Pathologist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2016-05-10 |
1881049922 | Haley Faye Lafleur | Physical Therapist | 909 Sw 18th Ave, Portland, OR 97205 | 2016-04-26 |
1073988226 | Katherine Donnelley | Specialist/Technologist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2015-12-14 |
1487060562 | Kasey Webber | Specialist | 909 Sw 18th Ave, Portland, OR 97106 | 2014-07-09 |
1235479643 | Providence Health & Services - Oregon | Internal Medicine | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2013-02-21 |
1073802344 | Providence Health & Services Oregon | Clinic/Center | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2011-04-07 |
1265768741 | Nicholas Mark Thompson | Physical Therapist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2009-10-19 |
1417169517 | Eric J. Marchek | Physical Therapist | 909 Sw 18th Ave, Portland, OR 97205-1705 | 2007-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
Find all providers in zip 97205 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
1801132667 | Robert Andrew Berselli | Orthopaedic Surgery | 02113 Sw Military Rd, Portland, OR 97219-8428 | 2012-12-26 |
1134482284 | Andrew J Bryan | Orthopaedic Surgery | 1515 Nw 18th Ave Ste 300, Portland, OR 97209-2539 | 2012-06-22 |
1114297553 | Marc El Najjar | Orthopaedic Surgery | 1220 Sw 66th Ave # Appt2213, Portland, OR 97225-6022 | 2012-01-02 |
1245556984 | Penelope D Lang | Orthopaedic Surgery | 3500 N Interstate Ave, Kaiser Permanente, Interstate Medical Office South Orthopaedics, Portland, OR 97227-1196 | 2010-04-19 |
1154646453 | Ivanhoe B. Higgins, M.d., P.C. | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 640, Portland, OR 97213-2990 | 2010-03-30 |
1811134836 | Robert Graf Mckillop | Orthopaedic Surgery | 21 Ne 7th Ave, Portland, OR 97232-2907 | 2009-01-13 |
1790920841 | Joseph Paul Schenck | Orthopaedic Surgery | 9925 Sw Quail Post Road, Portland, OR 97219 | 2008-12-03 |
1962680553 | Anthony Woodward | Orthopaedic Surgery | 10737 Sw Lancaster Rd, Portland, OR 97219-6494 | 2008-02-06 |
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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.