MICHAEL HAL BOURNE JR. (NPI# 1881030443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881030443 |
| Entity Type | Individual |
| Full Name | MICHAEL HAL BOURNE JR. |
| Credential | MD |
| Practice Address |
9427 Sw Barnes Rd Ste 296 Portland OR 97225-6667 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5032973778 |
| Practice Fax Number | 5032977853 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 57982 | MN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD191042 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD191042 | OR | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
57982 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2126514 | 05 | |
| OR | 500761546 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16770 Sw Edy Rd Ste 216, Sherwood, OR 971409679 | 5032973778 | 5032977853 |
| 19250 Sw 65th Ave Ste 135, Tualatin, OR 970627745 | 5036928560 | 5037830660 |
| 879 Providence Dr, Newberg, OR 971327563 | 5032973778 | 5032977853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546965 | Michael William Bourne | Internal Medicine | The Gw Medical Faculty Associates, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2019-06-11 |
| 1992178347 | Michael Bourne | Social Worker | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2015-11-06 |
| 1164412649 | Michael Ray Bourne | Podiatrist | 1500 Curve Crest Blvd W, Stillwater, MN 55082 | 2005-10-25 |
| 1073505582 | Michael H Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| Street Address |
9427 SW BARNES RD STE 296 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020987 | Asha Narasimhan Chesnutt | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2005-08-11 |
| 1215586102 | Oregon Clinic PC | Durable Medical Equipment & Medical Supplies | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2019-09-04 |
| 1104238468 | Candace Nicole Meinen | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225 | 2014-05-21 |
| 1376954156 | Crystal Ann Duran | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-05-14 |
| 1427476159 | Robert Gerard Wheeler | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-03-31 |
| 1043551930 | Reda Tawfik Bassaly | Physician Assistant | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2013-03-03 |
| 1154616035 | Stephen Teng-yip Yau | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6652 | 2011-06-18 |
| 1497910210 | Lianne Liang-jung Lin | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6652 | 2008-07-21 |
| 1720264476 | Hataya Kristy Poonyagariyagorn | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2008-01-11 |
| 1295929198 | Janis Leigh Denning | Physician Assistant | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6652 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750648432 | Robert Dreisin | Internal Medicine | 6350 Sw Burlingame Ave, Portland, OR 97239-2635 | 2012-04-18 |
| 1962645549 | Elham Karamooz | Internal Medicine | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-13 |
| 1831368554 | Ohsu Medical Group | Internal Medicine | 2115 Sw River Pkwy, Portland, OR 97201-8024 | 2008-02-27 |
| 1184824351 | Rick Balestra | Internal Medicine | 1111 Ne 99th Ave Ste 200, Portland, OR 97220-9442 | 2007-07-24 |
| 1316920564 | Sumangala F Huded | Internal Medicine | 78 Marlborough St, Portland, CT 06480-4801 | 2005-11-22 |
| 1124020987 | Asha Narasimhan Chesnutt | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2005-08-11 |
| 1376954156 | Crystal Ann Duran | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-05-14 |
| 1427476159 | Robert Gerard Wheeler | Internal Medicine | 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 | 2014-03-31 |
| 1992065080 | Mainehealth | Internal Medicine | 22 Bramhall St, Portland, ME 04102 | 2012-05-22 |
| 1962778902 | Matthew Champion | Internal Medicine | 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 | 2012-03-23 |
| Find all providers in PORTLAND | ||||
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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.