DR. LYNETTE SANTOS MALIK (NPI# 1023209897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023209897 |
| Entity Type | Individual |
| Full Name | DR. LYNETTE SANTOS MALIK |
| Other Name | DR. LYNETTE REPASO SANTOS |
| Credential | M.D. |
| Practice Address |
3600 N Interstate Ave Department of Physical Medicine Portland OR 97227-1106 |
| Practice Telephone | 5033313070 |
| Practice Fax Number | 5033313089 |
| Mailing Telephone | 5033313070 |
| Mailing Fax Number | 5033313089 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 2011033713 | MO | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 125053433 | IL | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
MD163117 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3600 N INTERSTATE AVE DEPARTMENT OF PHYSICAL MEDICINE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958885 | Stefani K Cozine | Audiologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2005-08-09 |
| 1780223479 | Melissa M Tufts | Nurse Practitioner | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-12-30 |
| 1699324061 | Natalie Waligorski | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-09-09 |
| 1275186223 | Angela Marie Maroon | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-07-18 |
| 1801457130 | Alena Rose Faulkner | Genetic Counselor, MS | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-06-26 |
| 1720645872 | Kirsten Kadoyama | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227 | 2019-05-23 |
| 1376109017 | Yuliya M Byakina | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2019-05-17 |
| 1417491846 | Rachael Highton | Pharmacist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-12-04 |
| 1558812107 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-10-19 |
| 1871956136 | Alise Nichole Roberson | Optometrist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619148 | Neville Chu | Physical Medicine & Rehabilitation | 4356 Sw Multnomah Blvd, Portland, OR 97219-3583 | 2012-08-29 |
| 1073145447 | Elizabeth Corbett-furgal | Physical Medicine & Rehabilitation | 2811 Ne Holman St, Portland, OR 97211-6067 | 2020-02-04 |
| 1760708622 | Michael Joseph Burns | Physical Medicine & Rehabilitation | 33 Sewall St, Portland, ME 04102-2603 | 2010-04-15 |
| 1235349879 | Jane Glass | Physical Medicine & Rehabilitation | 50 Sewall Street, Suite 301, Portland, ME 04102 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1952826893 | Joshua Walters | Physical Medicine & Rehabilitation | 1780 Sw 3rd St Ste B&c, Corvallis, OR 97333-1982 | 2017-08-12 |
| 1598245490 | Karen Baltz Gibbs | Physical Medicine & Rehabilitation | 500 Villa Rd, Newberg, OR 97132-1860 | 2018-08-20 |
| 1609849793 | Robert E Andrews | Physical Medicine & Rehabilitation | 1303 Ne Cushing Dr, Bend, OR 97701-3730 | 2006-02-09 |
Please comment or provide details below to improve the information on DR. LYNETTE SANTOS MALIK.
| 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.