MT HOOD WOMEN'S HEALTH PC (NPI# 1801968086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801968086 |
| Entity Type | Organization |
| Organization Name | MT HOOD WOMEN'S HEALTH PC |
| Practice Address |
24850 Se Stark St Suite 200 Gresham OR 97030 |
| Mailing Address |
24850 Se Stark St. Suite 200 Gresham OR 97030 |
| Practice Telephone | 5034919444 |
| Practice Fax Number | 5036611420 |
| Mailing Telephone | 5034919444 |
| Mailing Fax Number | 5036611420 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | ELAINE J BEEBLE (ADMINISTRATOR) |
| Authorized Official Telephone | 5034919444 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
12-00004737 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278550 | 05 |
| Street Address |
24850 SE STARK ST SUITE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426110 | Julia W Mason | Pediatrics | 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 | 2005-06-08 |
| 1124575139 | Gretchen Ann Grooms | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2016-09-07 |
| 1770787681 | Renee Nicole Goodreau | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-06-13 |
| 1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
| 1164547634 | Jennifer Marie Boom | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-03-21 |
| 1063558807 | June Ellen Hobbs | Advanced Practice Midwife | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-01-29 |
| 1427066554 | Kelly Annette Carter | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1982612024 | Michelle Cecile Champagne | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1841208972 | Sandra Ann Collis | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1821006958 | Anne Meredith Knudsen | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
| 1922483015 | Kuns Chiropractic Clinic | Clinic/Center | 405 Ne Division St, Gresham, OR 97030-3947 | 2015-07-30 |
| 1891927661 | Bodywork Massage Inc. | Clinic/Center | 329 Ne Hood Ave, Gresham, OR 97030-7449 | 2009-08-12 |
| 1770713836 | Donald A Burress Md PC | Clinic/Center | 510 Ne Roberts Ave, Suite 100, Gresham, OR 97030-7404 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
| 1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
| 1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
| 1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
| 1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1285988444 | Md Squared | Clinic/Center | 22400 Salamo Rd Ste 201, West Linn, OR 97068-8269 | 2012-11-08 |
| 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.