DR. BROOKE NICOLE MAYLIE (NPI# 1922399161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922399161 |
| Entity Type | Individual |
| Full Name | DR. BROOKE NICOLE MAYLIE |
| Credential | MD, MPH |
| Practice Address |
1500 Nw Bethany Blvd Suite 240 Beaverton OR 97006-5208 |
| Practice Telephone | 5036447300 |
| Practice Fax Number | 5036415179 |
| Mailing Telephone | 5036447300 |
| Mailing Fax Number | 5036415179 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
A97927 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD27886 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1500 NW BETHANY BLVD SUITE 240 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821056250 | Seth Colner | Chiropractor | 1500 Nw Bethany Blvd, Suite 135, Beaverton, OR 97006-5208 | 2006-05-03 |
| 1306381207 | Dana Gieszler | Counselor | 1500 Nw Bethany Blvd, 320, Beaverton, OR 97006-5208 | 2016-12-30 |
| 1316305121 | Sari Matisoff | Registered Nurse | 1500 Nw Bethany Blvd, Beaverton, OR 97006-5208 | 2016-02-08 |
| 1508221227 | Alice Berry | Specialist/Technologist, Other | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2015-12-22 |
| 1437521788 | Recovery Partners, P.C. | Psychologist | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2015-10-27 |
| 1255700134 | Heather Fogg | Counselor | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2015-09-21 |
| 1770977498 | Tamara Stewart | Behavioral Analyst | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2015-03-19 |
| 1205239423 | Laurie Muhlbauer | Registered Nurse | 1500 Nw Bethany Blvd, Ste 320, Beaverton, OR 97006 | 2014-10-01 |
| 1366864357 | Heather Anne Harrison | Counselor | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2014-01-10 |
| 1114355484 | Joy Mayer Gulseth | Counselor | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2013-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| 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 |
|---|---|---|---|---|
| 1679669295 | Adrianne Cheryl Feldstein | Preventive Medicine | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-10-04 |
| 1265445985 | David P. Ushman | Preventive Medicine | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197471 | Naviatric LLC | Preventive Medicine | 3235 Nw Saltzman Rd, Portland, OR 97229-3950 | 2020-02-28 |
| 1164763355 | Healthstat On-site Clinic/saif | Preventive Medicine | 440 Church St Se, Salem, OR 97312-1001 | 2013-03-13 |
| 1194959502 | Robert P Campbell | Preventive Medicine | 2034 Ne Sandy Blvd, Suite C, Portland, OR 97232-3199 | 2009-05-13 |
| 1386810026 | Michael Boivin | Preventive Medicine | 78798 Ordnance Rd Bldg 11, Hermiston, OR 97838-9108 | 2008-05-02 |
| 1881025823 | Healthstat On-site Clinic/saif 2nd Location | Preventive Medicine | 1500 Sw 1st Ave, Suite 200, Portland, OR 97201-5815 | 2013-12-02 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.