EUGENE EDWARD KLECAN (NPI# 1861636334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861636334 |
Entity Type | Individual |
Full Name | EUGENE EDWARD KLECAN |
Credential | MD |
Practice Address |
4800 Sw Meadows Rd Ste 300 Lake Oswego OR 97035-4264 |
Mailing Address |
4800 Sw Meadows Rd Ste. 300 Lake Oswego OR 97035-4264 |
Practice Telephone | 5037040748 |
Mailing Telephone | 5037040748 |
Enumeration Date | 2009-04-28 |
Last Update Date | 2011-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
14969 | OR | Allopathic & Osteopathic Physicians |
Street Address |
4800 SW MEADOWS RD STE 300 |
City | LAKE OSWEGO |
State | OR |
Zip Code | 97035-4264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982791745 | Marci J Nemhauser | Psychologist | 4800 Sw Meadows Rd, Suite 300, Lake Oswego, OR 97035 | 2006-10-05 |
1659603561 | Terra Ann Mattson | Counselor | 4800 Sw Meadows Rd, Suite 361, Lake Oswego, OR 97035-4264 | 2010-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
Find all providers in zip 97035 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841397411 | Beth Ann Howell | Psychiatry & Neurology | 3 Monroe Pkwy, Suite P-427, Lake Oswego, OR 97035-1486 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659614998 | Pia Quimson-guevarra | Psychiatry & Neurology | 1975 Nw 167th Pl Ste 100-200, Beaverton, OR 97006-4908 | 2013-04-04 |
1285891085 | Tyler Jones | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # Uhn80, Department of Psychiatry, Portland, OR 97239-3011 | 2008-05-20 |
1194900084 | Heather Lynn Knott | Psychiatry & Neurology | 12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902 | 2008-01-09 |
1831307768 | Stephanie M Lopez | Psychiatry & Neurology | Uhn 80 3181 Sw Sam Jackson Park Road, Portland, OR 97239-3098 | 2007-05-21 |
1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
1780788901 | Alexander Earle Horwitz IIi | Psychiatry & Neurology | 265 Commercial St Se, Ste 280, Salem, OR 97301-3461 | 2006-09-08 |
1639272024 | Alexander Robert Burt | Psychiatry & Neurology | 1121 Ne 2nd, Oregon State Hospital, Portland, OR 97232 | 2006-09-07 |
1316972524 | Gilberto De Jesus-rentas | Psychiatry & Neurology | 2755 Commercial St Se, #101-315, Salem, OR 97302-4981 | 2006-07-12 |
1558359687 | John Oakley Beahrs | Psychiatry & Neurology | 3006 Ne Bryce St, Portland, OR 97212-1718 | 2005-10-12 |
1487659298 | Sam Michael Sasser | Psychiatry & Neurology | 1762 E Mcandrews Rd, Ste D, Medford, OR 97504-5577 | 2005-06-17 |
Find all providers with the same taxonomy |
City | LAKE OSWEGO |
Zip Code | 97035 |
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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.