AMY S EARHART


Address: 15 N Morris St, Portland, OR 97227-1541
Phone: 5032309875

AMY S EARHART (NPI# 1790885796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790885796
Entity Type Individual
Full Name AMY S EARHART
Credential MD
Practice Address 15 N Morris St
Portland
OR 97227-1541
Mailing Address 1776 Sw Madison St
Portland
OR 97205-1715
Practice Telephone 5032309875
Practice Fax Number 5032309877
Mailing Telephone 5032241044
Mailing Fax Number 5036212235
Enumeration Date 2006-09-22
Last Update Date 2019-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine MD00031951 WA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine MD19531 OR Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
MD19531 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1039937 05
OR 182930 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1603 E 4th Plain Blvd, Vamc V9 Nscu, Vancouver, WA 98661 5032208262 3609051784

Office Location

Street Address 15 N MORRIS ST
City PORTLAND
State OR
Zip Code 97227-1541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639174915 Joanne Rosalyn Claire Richardson-tollerton Family Medicine 15 N Morris St, Portland, OR 97227-1541 2005-06-14
1063050540 Jessica M Burgess Dietitian, Registered 15 N Morris St, Portland, OR 97227-1541 2019-12-16
1194292011 Brennan J Crowe Registered Nurse 15 N Morris St, Portland, OR 97227-1541 2018-10-29
1295225308 Angel N Two Bulls Counselor 15 N Morris St, Portland, OR 97227 2018-05-14
1851808604 Laurie A Rieschel Counselor 15 N Morris St, Portland, OR 97227-1541 2018-01-02
1720528037 Kellen J Kjera Registered Nurse 15 N Morris St, Portland, OR 97227-1541 2017-03-06
1578000576 Francis A Tootell Registered Nurse 15 N Morris St, Portland, OR 97227-1541 2017-01-27
1265979918 Dino Brozan Registered Nurse 15 N Morris St, Portland, OR 97227-1541 2017-01-19
1528514882 Mark A Seiffert Pharmacist 15 N Morris St, Portland, OR 97227-1541 2016-08-28
1912453275 Catherine A Fry Pharmacy Technician 15 N Morris St, Portland, OR 97227-1541 2016-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639710783 Christine Elizabeth O'connor Family Medicine 6336 Se 61st Ave, Portland, OR 97206-6718 2019-09-30
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1063064285 Victoria A Deane Family Medicine 37 Fall Brook St, Portland, ME 04103-4224 2019-07-09
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1871943159 Micah Kiehl Family Medicine 4427 Ne Fremont St, Portland, OR 97213-1153 2016-06-16
1083068589 Carrie Lynn Binder Family Medicine 1035 Nw Northrup St, Portland, OR 97209-3017 2016-04-20
1437513835 Kayce A Spear Family Medicine 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 2016-04-12
1992175509 Lone Star Evaluations Inc. Family Medicine 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 2015-09-25
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Competitor

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City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

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.

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