MARQUIS CLINICAL SERVICES LLC (NPI# 1710427810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710427810 |
| Entity Type | Organization |
| Organization Name | MARQUIS CLINICAL SERVICES LLC |
| Practice Address |
4560 Se International Way Suite 100 Milwaukie OR 97222 |
| Practice Telephone | 9712065164 |
| Practice Fax Number | 9712065200 |
| Mailing Telephone | 9712065164 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | MS. LINDSEY MARIE SCHAUB (CLINICAL SERVICES MANAGER) |
| Authorized Official Telephone | 9712065179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OR | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
OR | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4560 SE INTERNATIONAL WAY SUITE 100 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418535 | Kerry Lee O'brien | Nurse Practitioner | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2006-02-27 |
| 1417563529 | Jordan Victorio | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2020-09-23 |
| 1992268007 | Artur Azizkhanian | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-04-08 |
| 1730643966 | Heather Lin Heilman | Physical Therapy Assistant | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2019-01-22 |
| 1235604687 | Kam Y Lau | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2018-10-11 |
| 1396267779 | Sydney Cook | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2017-07-07 |
| 1407381080 | Colleen Mathews | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-04-20 |
| 1245762988 | Kristina Gill | Physical Therapist | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 2017-03-31 |
| 1093246381 | Jeffrey Lawman | Physical Therapy Assistant | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-27 |
| 1841731650 | Eva Sachen | Occupational Therapist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975284 | Rachel Marie Nolan | Family Medicine | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-01-09 |
| 1083907661 | Amy Melissa Tierney | Family Medicine | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
| 1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
| 1366589905 | Bruce W Duffy | Family Medicine | 4182 Vitae Springs Rd S, Salem, OR 97306-9705 | 2007-01-31 |
| 1518028976 | Samuel S Suk | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2006-12-12 |
| 1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
| 1225117625 | Barbara Ellen Moore | Family Medicine | 4311 Melqua Rd, Roseburg, OR 97470-8953 | 2006-11-04 |
| 1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
| 1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
| 1578508214 | Natasa Petrac | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-06-17 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.