DR. MICHELLE BLEYNAT VESSELY (NPI# 1851514343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851514343 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE BLEYNAT VESSELY |
| Credential | M.D |
| Practice Address |
6485 Sw Borland Rd Ste B Tualatin OR 97062-9762 |
| Practice Telephone | 5036921190 |
| Practice Fax Number | 5036927017 |
| Mailing Telephone | 5036921190 |
| Mailing Fax Number | 5036927017 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
34786 | NC | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
MD18645 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
6485 SW BORLAND RD STE B |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989259 | Nathan A Kemalyan Md Facs | Surgery | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062-9762 | 2019-06-04 |
| 1053832162 | Tualatin Internal Medicine | Internal Medicine | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062-9762 | 2017-06-28 |
| 1851793236 | Anita R Cintron Rivera | Physician Assistant | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041158 | Courtney Marie Wedgeworth | Otolaryngology | 537 Union Ave, Grants Pass, OR 97527-5543 | 2017-06-01 |
| 1447632328 | Ear, Nose and Throat Associates, LLC. | Otolaryngology | 900 Se Oak St Ste 201, Hillsboro, OR 97123-4287 | 2015-06-26 |
| 1952672289 | David Sining Chen | Otolaryngology | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2012-01-18 |
| 1619028693 | Steven P Gabel, Md, PC | Otolaryngology | 12115 Sw 70th Ave Ste 200, Tigard, OR 97223 | 2007-01-16 |
| 1952476350 | Daniel Mac Dowell Wayman | Otolaryngology | 555 Black Oak Dr, Suite 210, Medford, OR 97504-8447 | 2006-11-21 |
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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.