DR. JESSICA MARIE GHAFERI (NPI# 1003940966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003940966 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MARIE GHAFERI |
| Other Name | JESSICA MARIE FLYNN |
| Credential | M.D. |
| Practice Address |
12254 Sw Garden Pl Tigard OR 97223-8246 |
| Mailing Address |
Po Box 230457 Tigard OR 97281-0457 |
| Practice Telephone | 7348002727 |
| Practice Fax Number | 5032458219 |
| Mailing Telephone | 5039067300 |
| Mailing Fax Number | 5032458219 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 4301087739 | MI | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301087739 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
4301087739 | MI | Allopathic & Osteopathic Physicians |
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD174001 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
12254 SW GARDEN PL |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635371 | Jessica A Spies | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2005-11-08 |
| 1790229888 | Northwest Oral Pathology | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2016-12-08 |
| 1942513924 | Gabriel P Currie | Dermatology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2010-07-20 |
| 1659514958 | Andrea Lauer Chakrapani | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2009-04-16 |
| 1861533481 | Curtis Thompson Md & Associates Pllc | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2007-02-08 |
| 1457408601 | Curtis Troy Thompson | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2007-01-03 |
| 1972564847 | Frank J Kratochvil IIi | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2006-03-30 |
| 1780667527 | Stephanie J Mengden Koon | Dermatology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635371 | Jessica A Spies | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2005-11-08 |
| 1659514958 | Andrea Lauer Chakrapani | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2009-04-16 |
| 1861533481 | Curtis Thompson Md & Associates Pllc | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2007-02-08 |
| 1457408601 | Curtis Troy Thompson | Pathology | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124445218 | Thomas Scott Rogers | Pathology | 13705 Ne Airport Way # C, Portland, OR 97230-1048 | 2014-03-26 |
| 1003051269 | Elizabeth Burns Mcquitty | Pathology | 3600 Nw Samaritan Dr, Pathology Dept, Corvallis, OR 97330-3737 | 2008-12-02 |
| 1487864583 | Veselina Borisova Korcheva | Pathology | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2007-05-23 |
| 1043339294 | Bryan P Wu | Pathology | 2825 E Barnett Rd, Medford, OR 97504 | 2007-03-28 |
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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.