DR. ANNE MEREDITH KNUDSEN (NPI# 1821006958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821006958 |
| Entity Type | Individual |
| Full Name | DR. ANNE MEREDITH KNUDSEN |
| Credential | MD |
| Practice Address |
24850 Se Stark St Suite 200 Gresham OR 97030-8316 |
| Practice Telephone | 5034919444 |
| Practice Fax Number | 5036611420 |
| Mailing Telephone | 5034919444 |
| Mailing Fax Number | 5036611420 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD24997 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275165 | 05 |
| Street Address |
24850 SE STARK ST SUITE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8316 |
| 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 |
| 1801968086 | Mt Hood Women's Health PC | Clinic/Center | 24850 Se Stark St, Suite 200, Gresham, OR 97030 | 2006-11-14 |
| 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 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376840249 | Daniel Marvin Patchin | Obstetrics & Gynecology | 4215 Se Regner Rd, Gresham, OR 97080-9464 | 2011-02-11 |
| 1386893444 | Diana Gill | Obstetrics & Gynecology | 2150 Ne Divison Street, Suite 202 Gresham Women's Healthcare, P.C., Gresham, OR 97030 | 2008-09-15 |
| 1356500821 | Mary Fariba Afsari-howard | Obstetrics & Gynecology | 2150 Ne Division St. Suite 202, Gresham Women's Healthcare, P.C., Gresham, OR 97030-5859 | 2008-06-09 |
| 1255513701 | Gresham Women's Healthcare, PC | Obstetrics & Gynecology | 2150 Ne Division St Ste 202, Gresham, OR 97030-5859 | 2007-11-27 |
| 1558777342 | Britta Ameel | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2014-07-01 |
| 1770809303 | Audra Rachelle Norris-jacob | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2010-04-07 |
| 1992039309 | Monica Elizabeth Venn | Obstetrics & Gynecology | 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | 2009-10-01 |
| 1770787681 | Renee Nicole Goodreau | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-06-13 |
| 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 |
| Find all providers in GRESHAM | ||||
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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.