DR. ANA HILDE (NPI# 1861753352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861753352 |
Entity Type | Individual |
Full Name | DR. ANA HILDE |
Other Name | DR. ANANDAM HILDE |
Credential | MD |
Practice Address |
620 Ne 2nd St Gresham OR 97030 |
Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
Practice Telephone | 9712743757 |
Practice Fax Number | 5039125740 |
Mailing Telephone | 5032241044 |
Mailing Fax Number | 5036212235 |
Enumeration Date | 2012-05-31 |
Last Update Date | 2018-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MDR-6329 | HI | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD180385 | OR | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD180385 | OR | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500743795 | 05 | |
OR | 500712261 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1225 Ne 2nd Ave, Portland, OR 972322003 | 5039448000 | 5039448011 |
12360 E Burnside St, Portland, OR 972331042 | 9712794800 | 9712792051 |
17645 Nw Saint Helens Rd, Portland, OR 972311729 | 5036211069 | 5036210200 |
3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034185775 | 5034185774 |
Street Address |
620 NE 2ND ST |
City | GRESHAM |
State | OR |
Zip Code | 97030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497791123 | Myron J George | Social Worker | 620 Ne 2nd St, Gresham, OR 97030 | 2006-06-21 |
1285233460 | Madelynn R Tice | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2020-10-20 |
1700400769 | Jacquelyn L Johnson | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2020-06-04 |
1942836333 | Mollyanne Jones | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2020-03-17 |
1316570088 | Jasmine A Groves | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2020-02-20 |
1336772417 | Sara A Koyano | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2020-02-18 |
1295371888 | Deborah R Ficek | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2019-11-19 |
1235785502 | Anthony D Jarrard | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2019-08-13 |
1023570397 | Christina H Collier | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2019-04-04 |
1356827331 | Christian M Girtz | Counselor | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2018-07-12 |
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 | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306956453 | Lewis W Sprunger | Psychiatry & Neurology | 1550 Nw Eastman Pkwy, 100, Gresham, OR 97030-3858 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
1295113876 | Cortney Aleese Taylor | Psychiatry & Neurology | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2015-05-14 |
1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
1760773006 | Michelle Elizabeth Feldman | Psychiatry & Neurology | 3876 Beverly Ave Ne Bldg F, Salem, OR 97305-1319 | 2011-04-20 |
1235446303 | Ervin Gene Stubbs | Psychiatry & Neurology | 7032 Sw 3rd Ave, Portland, OR 97219-2214 | 2010-09-09 |
1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
1528249620 | Thomas E Deblois | Psychiatry & Neurology | 133 Ne 8th St, Newport, OR 97365-3130 | 2007-11-16 |
1700077328 | Hanh Ngoc Nguyen | Psychiatry & Neurology | 5410 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-08-08 |
1912116013 | John Barrows Chenoweth | Psychiatry & Neurology | 5410 S.w. Macadam Ave, Ste 200, Portland, OR 97239-3825 | 2007-05-22 |
1023238698 | Elliot Morrison | Psychiatry & Neurology | 22025 Ne Butler Market Rd, Bend, OR 97701-9734 | 2007-04-26 |
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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.