BRUCE L EASTMAN (NPI# 1801144472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801144472 |
| Entity Type | Individual |
| Full Name | BRUCE L EASTMAN |
| Credential | FNP |
| Practice Address |
15 N Morris St Portland OR 97227-1541 |
| Mailing Address |
1776 Sw Madison St Credentialing Department Portland OR 97205-1715 |
| Practice Telephone | 5032309875 |
| Practice Fax Number | 5032309877 |
| Mailing Telephone | 9713862278 |
| Mailing Fax Number | 5032244494 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00142133 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 201403164RN | OR | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201403166NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500680533 | 05 |
| Street Address |
15 N MORRIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1541 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| 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.