DR. A P AVERSANO (NPI# 1952459190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952459190 |
| Entity Type | Individual |
| Full Name | DR. A P AVERSANO |
| Credential | D.O. |
| Practice Address |
9200 Se 91st Ave Portland OR 97266-6756 |
| Mailing Address |
Po Box 2053 Lake Oswego OR 97035-0632 |
| Practice Telephone | 5098374366 |
| Practice Fax Number | 5098374344 |
| Mailing Telephone | 5098374366 |
| Mailing Fax Number | 5098374344 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DO10193 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 232405 | 05 |
| Street Address |
9200 SE 91ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891119947 | Haruka Swendsen Snow | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2014-02-10 |
| 1841629664 | Radiology Specialists of Portland, LLC | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2013-11-02 |
| 1861649675 | Mt. Scott Sleep Medicine, Inc. | Clinic/Center | 9200 Se 91st Ave, Suite 240, Portland, OR 97086-3756 | 2008-08-22 |
| 1114106192 | Jordi X Kellogg Md PC | Neurological Surgery | 9200 Se 91st Ave, Suite 340, Portland, OR 97086-3756 | 2007-10-26 |
| 1689891210 | Chloe Anne Sandquist | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2007-04-18 |
| 1033236724 | Stephanie Rufener | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2007-03-26 |
| 1609914605 | Portland Surgical Specialists, PC | Surgery | 9200 Se 91st Ave, #320, Portland, OR 97086 | 2007-02-02 |
| 1629168646 | John Stephen Domreis | Surgery | 9200 Se 91st Ave, 320, Portland, OR 97086-6756 | 2006-10-13 |
| 1730274168 | Thomas Richard Eubanks | Surgery | 9200 Se 91st Ave, Ste 320, Portland, OR 97086-6756 | 2006-10-03 |
| 1386754398 | Eastmoreland Ear, Nose & Throat, Clinic, LLP | Internal Medicine | 9200 Se 91st Ave, Suite 200, Portland, OR 97266-6756 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1184883381 | Michelle Hannah Cameron | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 | 2008-06-03 |
| 1043484801 | Aimee Lucinda Pierce | Psychiatry & Neurology | 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 | 2008-04-14 |
| 1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
| 1164647061 | Matthew Michael Evans | Psychiatry & Neurology | 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 | 2007-04-16 |
| 1477670255 | Vivek Unni | Psychiatry & Neurology | Chh, 3303 S.w. Bond Ave., Portland, OR 97239 | 2007-03-25 |
| 1780711135 | Holly Elaine Hinson | Psychiatry & Neurology | 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 | 2007-02-27 |
| 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.