ANDREW B MENDENHALL (NPI# 1053347591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053347591 |
| Entity Type | Individual |
| Full Name | ANDREW B MENDENHALL |
| Credential | MD |
| Practice Address |
1535 N Williams Ave Portland OR 97227-1885 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032382067 |
| Practice Fax Number | 5032382004 |
| Mailing Telephone | 5032941681 |
| Mailing Fax Number | 5032417419 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD24383 | OR | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD24383 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477012938 | Andrew Mendenhall | Community Health Worker | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-03-14 |
| Street Address |
1535 N WILLIAMS AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576782 | Andrew Iokepa Kualaau | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-10-20 |
| 1679170377 | Holly Nicole Phillips | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-10-06 |
| 1326654039 | Zachary Nathan Starbuck | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-09-17 |
| 1770197071 | David Ali Jimenez | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-09-03 |
| 1720692122 | Brianna Michelle White | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-09-02 |
| 1669081816 | Sara Elizabeth Price | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-07-23 |
| 1295352979 | Anthony Michshon Hines II | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-06-29 |
| 1548882269 | Mary Ann Mukhin | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-05-15 |
| 1184253486 | Rachelle Lauren Sather | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2020-04-07 |
| 1558918870 | Lisselle Hannah Rulona | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2019-08-21 |
| 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 | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838590 | Boulder Care Provider Group Pa | Family Medicine | 208 Sw Harvey Milk St Ste 200, Portland, OR 97204-2611 | 2019-06-04 |
| 1417333535 | Ascension Health Centers | Family Medicine | 8083 Se 13th Ave, Suite #3, Portland, OR 97202-6668 | 2015-07-31 |
| 1316006166 | Stephen Cameron | Family Medicine | 3449 N Anchor St, Suite 300a, Portland, OR 97217-7679 | 2006-12-07 |
| 1619538782 | Gabrielle Alyson Bowker | Family Medicine | 17 Bishop St, Portland, ME 04103-2659 | 2019-06-27 |
| 1558719450 | Ascension Medical Group LLC | Family Medicine | 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 | 2016-06-01 |
| 1073978284 | Robbie Bahl, Md LLC | Family Medicine | 3769 Se Milwaukie Ave, Portland, OR 97202-3804 | 2015-12-15 |
| 1144648312 | Bradley Michael Buchheit | Family Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-03 |
| 1013273861 | Andrea Gough-goldman | Family Medicine | 1030 Ne Couch St, Portland, OR 97232-3067 | 2012-04-05 |
| 1942522388 | John Henry Hardy Jr. | Family Medicine | 700 N Hayden Island Dr Ste 100, Portland, OR 97217-8130 | 2010-02-26 |
| 1942469762 | Robbie Bahl | Family Medicine | 3769 Se Milwaukie Ave, Portland, OR 97202-3804 | 2008-06-06 |
| 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.