DR. KATHRYN JANE FLEGEL (NPI# 1912988700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912988700 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN JANE FLEGEL |
| Credential | MD |
| Practice Address |
2250 Nw Flanders St #103 Portland OR 97210-3443 |
| Mailing Address |
3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 |
| Practice Telephone | 5032221524 |
| Practice Fax Number | 5032241880 |
| Mailing Telephone | 5032848841 |
| Mailing Fax Number | 5032823302 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD13388 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 269126 | 05 |
| Street Address |
2250 NW FLANDERS ST #103 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532384 | Bruno Cristalli Da Costa | Dentist | 2250 Nw Flanders St, 112, Portland, OR 97210-3443 | 2005-07-20 |
| 1518417559 | Rachel Cole Dds PC | Dentist | 2250 Nw Flanders St, Suite 212, Portland, OR 97210-3443 | 2016-10-13 |
| 1154707917 | Jennifer Dimon | Physical Therapist | 2250 Nw Flanders St, Suite Garden 01, Portland, OR 97210-3443 | 2015-08-04 |
| 1053705285 | Lee Hullender Rubin, Daom, Lac | Acupuncturist | 2250 Nw Flanders St, Ste 205, Portland, OR 97210-3443 | 2015-03-25 |
| 1194134965 | Aaron Jake Pomerantz | Marriage & Family Therapist | 2250 Nw Flanders St, Suite 300, Portland, OR 97210-3443 | 2014-08-06 |
| 1265857627 | Sandra J. Krussel, Do, Psychiatrist, LLC | Psychiatry & Neurology | 2250 Nw Flanders St, 306, Portland, OR 97210-3443 | 2014-02-21 |
| 1295175396 | Synergy Women's Health Care, LLC | Non-Pharmacy Dispensing Site | 2250 Nw Flanders St, Suite 205, Portland, OR 97210-3443 | 2013-07-03 |
| 1700226396 | Wendy Vannoy, Nd, LLC | Non-Pharmacy Dispensing Site | 2250 Nw Flanders St, Suite 205, Portland, OR 97210-3443 | 2013-06-27 |
| 1912259581 | Erin Frances Sharman | Naturopath | 2250 Nw Flanders St, Portland, OR 97210-3443 | 2012-10-08 |
| 1013272038 | Synergy Women's Health Care | Clinic/Center | 2250 Nw Flanders St, Suite #205, Portland, OR 97210-3443 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| 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 |
|---|---|---|---|---|
| 1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
| 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 |
| 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 |
| 1043340219 | Birgit Meyer | Psychiatry & Neurology | 3415 Se Powell Blvd., Portland, OR 97202 | 2007-03-06 |
| 1518029768 | Barbara Jean Baker | Psychiatry & Neurology | 1818 Se Division St, Portland, OR 97202-1159 | 2006-12-14 |
| 1790851574 | Dena K Drasin | Psychiatry & Neurology | 6834 Se 28th Ave, Portland, OR 97202-8705 | 2006-11-25 |
| 1700966926 | Jonathan Joseph Valen | Psychiatry & Neurology | 506 Sw 6th Ave, Ste 602, Portland, OR 97204-1533 | 2006-10-16 |
| 1275628380 | Kenneth David Holladay | Psychiatry & Neurology | 9830 Ne Cascades Pkwy, Suite 200, Portland, OR 97220-6832 | 2006-10-04 |
| 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.