LEONARD R BERTHEAU


Address: 10201 Se Main St, Suite 10, Portland, OR 97216-2937
Phone: 5032552186

LEONARD R BERTHEAU (NPI# 1912079500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912079500
Entity Type Individual
Full Name LEONARD R BERTHEAU
Credential D.O.
Practice Address 10201 Se Main St
Suite 10
Portland
OR 97216-2937
Mailing Address Po Box 92900
Portland
OR 97292-0900
Practice Telephone 5032552186
Practice Fax Number 5032552194
Mailing Telephone 5032550109
Mailing Fax Number 5032550540
Enumeration Date 2006-11-15
Last Update Date 2013-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine DO28272 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 10201 SE MAIN ST
SUITE 10
City PORTLAND
State OR
Zip Code 97216-2937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598757452 Samuel Albert Camacho Internal Medicine 10201 Se Main St, Suite 10, Portland, OR 97216-2937 2005-08-17
1316339229 Jenna Clowers Physician Assistant 10201 Se Main St, Suite 9, Portland, OR 97216-2937 2015-03-02
1861700130 Northwest Renal Clinic, Inc. Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-09-20
1881919348 Macy Ann Martinson Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-03-28
1215261920 Ninfa Johnson Neuser Counselor 10201 Se Main St, Ste 10, Portland, OR 97216-2937 2009-09-28
1881851368 Aumyot Prongdong Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2008-05-21
1205958576 Vanessa L Peterson Internal Medicine 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 2007-04-05
1477617512 Kevin Khaw Internal Medicine 10201 Se Main St, Suite 25, Portland, OR 97216-2937 2006-12-21
1043318405 Jeffrey Aaron Komisarof Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2006-09-20
1326157462 Kidney Care Inc Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639710783 Christine Elizabeth O'connor Family Medicine 6336 Se 61st Ave, Portland, OR 97206-6718 2019-09-30
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1063064285 Victoria A Deane Family Medicine 37 Fall Brook St, Portland, ME 04103-4224 2019-07-09
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1871943159 Micah Kiehl Family Medicine 4427 Ne Fremont St, Portland, OR 97213-1153 2016-06-16
1083068589 Carrie Lynn Binder Family Medicine 1035 Nw Northrup St, Portland, OR 97209-3017 2016-04-20
1437513835 Kayce A Spear Family Medicine 10803 Se Cherry Blossom Drive, Portland, OR 97216-3107 2016-04-12
1992175509 Lone Star Evaluations Inc. Family Medicine 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 2015-09-25
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Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

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.

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