DR. JESSIE FAN


Address: 120 Nw 14th Ave, Suite 300, Portland, OR 97209-2643
Phone: 5032999906

DR. JESSIE FAN (NPI# 1932179439) 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) 1932179439
Entity Type Individual
Full Name DR. JESSIE FAN
Credential MD
Practice Address 120 Nw 14th Ave
Suite 300
Portland
OR 97209-2643
Mailing Address 2415 Se Ivon St
Portland
OR 97202-1287
Practice Telephone 5032999906
Practice Fax Number 5032259002
Mailing Telephone 5039220926
Enumeration Date 2006-01-25
Last Update Date 2012-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology MD27402 OR Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology 227596 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 274300 05
WA 8482242 05

Office Location

Street Address 120 NW 14TH AVE
SUITE 300
City PORTLAND
State OR
Zip Code 97209-2643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942462411 William Patrick Kinane Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2008-06-26
1639360902 Richard B. Rosenfield Md PC Clinic/Center 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 2007-08-05
1487844320 Christopher M Colville Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2007-07-26
1447440433 Ilan Jose Rothman Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2007-07-26
1679787295 Vatche Krikor Bezdikian Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2007-05-10
1912048372 Richard B Rosenfield Obstetrics & Gynecology 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 2007-02-09
1407997125 Pearl Surgicenter, Inc. Clinic/Center 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 2007-02-08
1831270545 Richard Hector Bensimon Surgery 120 Nw 14th Ave, Suite 200, Portland, OR 97209 2006-10-18
1568568087 Petra Kriz Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2006-09-15
1578572285 Janice M Vaughn Anesthesiology 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 2006-08-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
Find all providers in zip 97209

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821451493 Curtis Bradford Anesthesiology 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 2016-03-31
1457766040 Edward Kent IIi Anesthesiology 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 2014-06-23
1235486572 Dolores Anne Leon Anesthesiology 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 2012-08-06
1447403605 Leelee Khanh-hoa Thames Anesthesiology 3601 Sw River Pkwy Unit 800, Portland, OR 97239-4555 2008-10-30
1598942815 Esther Sung Anesthesiology 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 2008-01-29
1689871253 Mark D Murrow Anesthesiology 2801 N Gantenbein Ave., Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 2007-06-28
1477600260 Mark Enker Anesthesiology 3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239-3011 2007-01-04
1265441638 Robert D Wilson Anesthesiology 10379 Se Crescent Ridge Dr, Portland, OR 97086-9100 2006-08-05
1043227903 Joshua B Siegel Anesthesiology 2307 Nw Stimpson Ln, Portland, OR 97229-8562 2006-08-02
1295749695 David Gissen Anesthesiology 2846 Nw Ariel Ter, Portland, OR 97210-3119 2006-07-28
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97209

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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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