DR. AMANDA J PICKERT (NPI# 1922232255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922232255 |
| Entity Type | Individual |
| Full Name | DR. AMANDA J PICKERT |
| Credential | M.D. |
| Practice Address |
15950 Sw Millikan Way Beaverton OR 97003-5170 |
| Practice Telephone | 5036460161 |
| Practice Fax Number | 5035269795 |
| Mailing Telephone | 5036460161 |
| Mailing Fax Number | 5035269795 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 16619 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
15950 SW MILLIKAN WAY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192756 | Reewen C. D'souza-kamath | Internal Medicine | 15950 Sw Millikan Way, Beaverton, OR 97006-5170 | 2005-05-24 |
| 1275033268 | Marni Lynn Doerfler | Social Worker | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2018-02-15 |
| 1992230619 | Amanda Rochelle Tobias | Pharmacist | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2017-05-01 |
| 1750813507 | Nadia Reinhart-mcmillan | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2017-03-31 |
| 1831517507 | Trisha Haskins | Nurse Practitioner | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2014-03-31 |
| 1902245756 | Ian Michael Horner | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2013-06-14 |
| 1902152440 | Beth Elaine Jennings | Physical Therapist | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2012-08-02 |
| 1790096873 | Providence Health & Services - Oregon | Clinic/Center | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2010-06-23 |
| 1649403940 | Jessica Lauren Binkley | Counselor | 15950 Sw Millikan Way, Beaverton, OR 97003 | 2009-09-02 |
| 1184852899 | Poonam Walia Chhibber | Family Medicine | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2009-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225370927 | Alan Barry Lachman | Dermatology | 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 | 2013-03-20 |
| 1962487231 | Sandhya V Koppula | Dermatology | 17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295 | 2005-12-09 |
| 1235472473 | Keith Curtis Olsen | Dermatology | 4855 Sw Western Ave, Kaiser Permanente Dermatology, Beaverton, OR 97005-3460 | 2013-04-05 |
| 1336352087 | Eric Hunter Kilber | Dermatology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2007-05-08 |
| 1659593481 | Mary Lyons | Dermatology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2007-05-02 |
| 1699868489 | Janelle Marie Rohrback | Dermatology | 15950 Sw Millikan Way, Beaverton, OR 97006 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327185 | Clear Choice Dermatology | Dermatology | 1815 E 15th St Ste B, The Dalles, OR 97058-3309 | 2020-02-05 |
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1902260425 | Sarah Baca | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2016-04-11 |
| 1194110288 | Betty Si Yuan Jiang | Dermatology | 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | 2015-04-06 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1851712038 | Charles Raymond Hahn | Dermatology | 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 | 2013-12-14 |
| 1417207283 | Karla S Pivik | Dermatology | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 | 2012-09-19 |
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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.