PHYSICIAN DIRECTED SERVICES, INC. (NPI# 1720377971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720377971 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN DIRECTED SERVICES, INC. |
| Practice Address |
3030 Sw 10th Ave Apt 20 Portland OR 97239-3085 |
| Practice Telephone | 9712189062 |
| Mailing Telephone | 9712189062 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | PAUL REYNOLDS (PRESIDENT) |
| Authorized Official Telephone | 9712189062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3030 SW 10TH AVE APT 20 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025779 | Ghayda Aboasha | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1215439807 | Christopher Allen Lane | Technician, Other | 4949 Sw Macadam Ave Ste 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1932617149 | Haley Ann Moore | Technician, Other | 4949 Sw Macadam Ave, Portland, OR 97239-3912 | 2018-01-22 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1306391651 | Andy Jay Caoile | Technician, Other | 809 Ne 151st Ave, Portland, OR 97230-4712 | 2016-08-16 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1649624719 | Janna Norberg | Technician, Other | 3237 Ne 79th Ave, Portland, OR 97213-6527 | 2016-04-14 |
| 1669847729 | Heidi Schmidt | Technician, Other | 2717 Ne Broadway St, Portland, OR 97232-1722 | 2015-12-01 |
| 1629311865 | Jacqueline Marie | Technician, Other | 5408 Se 111th Ave, Portland, OR 97266-4148 | 2013-04-05 |
| 1528213618 | Virginia Adelaide Simonin | Technician, Other | 4265 Se 116th Ave, Portland, OR 97266-2109 | 2008-11-17 |
| 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.