CARDINAL FAMILY MEDICINE, LLC (NPI# 1023491008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023491008 |
| Entity Type | Organization |
| Organization Name | CARDINAL FAMILY MEDICINE, LLC |
| Practice Address |
7240 Ne Sandy Blvd Portland OR 97213-5741 |
| Practice Telephone | 5034774700 |
| Practice Fax Number | 9712794771 |
| Mailing Telephone | 5034776700 |
| Mailing Fax Number | 9712794771 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | DR. JOHN PHAM (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5034776700 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
DO23388 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CARDINAL FAMILY MEDICINE, LLC | 7240 Ne Sandy Blvd, Portland, OR 97213 |
| Street Address |
7240 NE SANDY BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154448595 | John Edward Cherveny Jr. | Chiropractor | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2007-03-22 |
| 1225551609 | Suzanne Elice Dotson | Physician Assistant | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2017-07-18 |
| 1891179123 | Cardinal Chiropractic, PC | Clinic/Center | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2015-07-16 |
| 1699158618 | Leigh Thackston Paxton | Physician Assistant | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2015-07-08 |
| 1588934541 | Timothy Q Pham | Chiropractor | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2012-01-09 |
| 1891964409 | John T. Pham, Do, PC | Family Medicine | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| 1811441652 | Boly Health and Education, LLC | Clinic/Center | 2607 Nw Thurman St, Portland, OR 97210-2202 | 2016-08-10 |
| 1073927158 | Personal Fitness and Consulting | Clinic/Center | 12014 Se Schiller St, Portland, OR 97266-3258 | 2014-06-17 |
| 1427475698 | Eternal Spring Massage | Clinic/Center | 7048 Se Milwaukie Ave, Portland, OR 97202-5719 | 2014-03-25 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CARDINAL FAMILY MEDICINE, 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.