HEALTHSTAT ON-SITE CLINIC/SAIF 2ND LOCATION (NPI# 1881025823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881025823 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/SAIF 2ND LOCATION |
| Practice Address |
1500 Sw 1st Ave Suite 200 Portland OR 97201-5815 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 5033738550 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1500 SW 1ST AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197471 | Naviatric LLC | Preventive Medicine | 3235 Nw Saltzman Rd, Portland, OR 97229-3950 | 2020-02-28 |
| 1194959502 | Robert P Campbell | Preventive Medicine | 2034 Ne Sandy Blvd, Suite C, Portland, OR 97232-3199 | 2009-05-13 |
| 1942430699 | Donald Gary Rischitelli | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 101, Portland, OR 97223-5442 | 2009-07-15 |
| 1043357742 | Kathy Y Chang | Preventive Medicine | 3449 N Anchor St, Suite 500, Portland, OR 97217-7679 | 2007-01-31 |
| 1457401176 | Carol Elizabeth Gunn | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 101, Portland, OR 97223-5442 | 2007-01-12 |
| 1285647719 | John Patrick Seymour | Preventive Medicine | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-08-14 |
| 1831153188 | David Edward Zachary Hall | Preventive Medicine | 10201 Se Main St, Suite 29, Portland, OR 97216-2937 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763355 | Healthstat On-site Clinic/saif | Preventive Medicine | 440 Church St Se, Salem, OR 97312-1001 | 2013-03-13 |
| 1386810026 | Michael Boivin | Preventive Medicine | 78798 Ordnance Rd Bldg 11, Hermiston, OR 97838-9108 | 2008-05-02 |
| 1922399161 | Brooke Nicole Maylie | Preventive Medicine | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2011-04-21 |
| 1578629697 | Gina Man-mui Sheedy | Preventive Medicine | 1002 Bellevue St Se, Salem, OR 97301-4006 | 2007-01-01 |
| 1649366584 | Jeffrey S Pierson | Preventive Medicine | 10100 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2006-10-05 |
| 1679669295 | Adrianne Cheryl Feldstein | Preventive Medicine | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-10-04 |
| 1205928132 | Joan Marie Browning | Preventive Medicine | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-09-28 |
| 1417960956 | Curtis Richard Thiessen | Preventive Medicine | 19185 Sw 90th Ave, Tualatin, OR 97062-7558 | 2006-08-15 |
| 1265445985 | David P. Ushman | Preventive Medicine | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-08-14 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/SAIF 2ND LOCATION.
| 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.