ANITA J DEKKER MD, LLC (NPI# 1972811842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972811842 |
| Entity Type | Organization |
| Organization Name | ANITA J DEKKER MD, LLC |
| Other Organization Name | DUTCHDOC |
| Practice Address |
3469 Hilyard St Eugene OR 97405-3815 |
| Practice Telephone | 5413441300 |
| Practice Fax Number | 5416101890 |
| Mailing Telephone | 5413441300 |
| Mailing Fax Number | 5416101890 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | DR. ANITA J DEKKER (OWNER) |
| Authorized Official Telephone | 5413441300 |
| Authorized Official Credential | M.D., MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
27842 | OR | Ambulatory Health Care Facilities |
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
27842 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dutchdoc | Doing Business As Name - Organization |
| Street Address |
3469 HILYARD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659411379 | Anita Joan Dekker | Preventive Medicine | 3469 Hilyard St, Eugene, OR 97405-3815 | 2007-02-08 |
| 1073778148 | Erik Verdouw | Physical Therapist | 3469 Hilyard St, Eugene, OR 97405-3815 | 2008-07-28 |
| 1649494964 | Renee Yvonne Sorseth | Massage Therapist | 3469 Hilyard St, Eugene, OR 97405-3815 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
| 1275641862 | Merle West Medical Center Inc Dba | Clinic/Center | 2633 Crosby Ave, Klamath Falls, OR 97603-5777 | 2006-08-25 |
| 1902913106 | Michael Laurin Adams | Clinic/Center | 4855 S.w. Western Ave, Kaiser Permanente - Occupational Health, Beaverton, OR 97005-3499 | 2006-08-24 |
| 1306230917 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2015-03-20 |
| 1386903474 | Good Samaritan Hospital Corvallis | Clinic/Center | 2555 Ne Belvue St, Corvallis, OR 97330 | 2012-05-09 |
| 1518251396 | Prov Health Sys-or Shared Sys Div | Clinic/Center | 5050 Ne Hoyt St, Suite B48, Portland, OR 97213-2944 | 2011-06-08 |
| 1699090043 | Work Capacities LLC | Clinic/Center | 2275 Ne Doctors Dr, Suite 4, Bend, OR 97701-6324 | 2010-03-29 |
| 1306174438 | Providence Health & Services - Oregon | Clinic/Center | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2009-12-01 |
| 1114255247 | Providence Health & Services - Oregon | Clinic/Center | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2530 | 2009-12-01 |
| 1457689598 | Providence Health & Services Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANITA J DEKKER MD, LLC.
| 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.