CHRISTINE GUPPENBERGER


Address: 10123 Se Market St, Portland, OR 97216-2532
Phone: 5032575000

CHRISTINE GUPPENBERGER (NPI# 1073027447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073027447
Entity Type Individual
Full Name CHRISTINE GUPPENBERGER
Credential PA
Practice Address 10123 Se Market St
Portland
OR 97216-2532
Mailing Address 5030 Ne Campaign St
Portland
OR 97218-2120
Practice Telephone 5032575000
Mailing Telephone 5854096904
Enumeration Date 2017-11-21
Last Update Date 2017-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10123 SE MARKET ST
City PORTLAND
State OR
Zip Code 97216-2532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801887658 Portland Adventist Medical Center General Acute Care Hospital 10123 Se Market St, Portland, OR 97216 2005-11-01
1619504495 Sandy Thao Mai Ninh Pharmacist 10123 Se Market St, Portland, OR 97216-2532 2020-03-24
1154957298 Rachel Anne Dalton Speech-Language Pathologist 10123 Se Market St, Portland, OR 97216-2532 2020-03-20
1497388797 Brooke Ottman Registered Nurse 10123 Se Market St, Portland, OR 97216-2532 2020-02-15
1316502719 Portland Adventist Medical Center Emergency Medicine 10123 Se Market St, Portland, OR 97216-2532 2019-05-01
1548749096 Hospitalist Medicine Physicians of Oregon-tcg, PC Internal Medicine 10123 Se Market St, Portland, OR 97216-2532 2018-08-07
1144713876 Patrick Caloz Physician Assistant 10123 Se Market St, Portland, OR 97216-2599 2018-06-07
1902304413 Rachael Veith Dietitian, Registered 10123 Se Market St, Portland, OR 97216-2532 2018-01-30
1215459110 Theresa Lynne Stratton Registered Nurse 10123 Se Market St, Portland, OR 97216-2532 2017-07-12
1194252718 Garrett C Spencer Internal Medicine 10123 Se Market St, Portland, OR 97216-2532 2017-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073081428 Ishah Marie Price Physician Assistant 30 Preble St Apt 663, Portland, ME 04101-4939 2018-11-04
1740797166 Joseph Something Physician Assistant 4800 Sw 76th Ave, Portland, OR 97225-1804 2018-01-08
1235687013 Satchel Harry Physician Assistant 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 2016-09-21
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1871982975 Colin Storz Physician Assistant 3623 N Borthwick Ave, Portland, OR 97227-1218 2015-01-13
1275888729 Stephanie Calvin Physician Assistant 782 College St, Portland, TN 37148-2120 2012-07-20
1174800031 Carolyn Frances Farrell Physician Assistant 450 N Graham St, Portland, OR 97227-1682 2011-11-07
1316130198 Ronald W Kessler Physician Assistant 632 Brighton Ave, Portland, ME 04102-1017 2007-08-24
1124210778 Honey E.l. Marques Physician Assistant 16279 Se Division St, Portland, OR 97236-1971 2007-08-16
1124177902 Dmitriy Shore Physician Assistant 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 2007-01-09
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Competitor

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City PORTLAND
Zip Code 97216

Improve Information

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Dataset Information

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.

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