EDUARDO SERPA (NPI# 1114381084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114381084 |
| Entity Type | Individual |
| Full Name | EDUARDO SERPA |
| Practice Address |
2211 Ne 139th St Vancouver WA 98686 |
| Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
| Practice Telephone | 3604874367 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OP60942877 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | PG177714 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Nw 23rd Ave, Portland, OR 972102906 | 5034137074 | 5034136892 |
| Street Address |
2211 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642591 | Vivek J Murari | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-12 |
| 1174159297 | Celeste Morgan | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2020-03-20 |
| 1497393193 | Jessica Lyn Bilger | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-12-13 |
| 1144864521 | Breanne Mary Davis | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-10-29 |
| 1407336787 | Christine Garrow | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2018-08-16 |
| 1144743501 | Eric Austin Jordan Nash | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-07-18 |
| 1720528698 | Candace M Hart | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-02-27 |
| 1801343868 | Kathryn Norton | Pharmacist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2016-09-07 |
| 1699146696 | Thuan Huy Nguyen | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-10-15 |
| 1225423064 | Shereen Lee Seyal | Psychiatry & Neurology | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1609215987 | Sonam Ravindra Kiwalkar | Internal Medicine | 700 Ne 87th Ave Ste 330, Vancouver, WA 98664-4896 | 2013-06-19 |
| 1205279585 | Marla Mcknight | Internal Medicine | St. Paul's Hospital, 1081 Burrard Street, Vancouver, BRITISH COLUMBIA V6Z1Y6 | 2013-04-16 |
| 1245577675 | John Adam Staples | Internal Medicine | 1081 Burrard St, Room 5910b, Vancouver, BC V6Z1Y6 | 2013-01-04 |
| 1598051252 | Joshua Grant | Internal Medicine | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 | 2011-06-21 |
| 1235422023 | Gurleen Dhami | Internal Medicine | 8821 Ne 5th St, Vancouver, WA 98664 | 2011-05-26 |
| 1487810073 | Charul Sen | Internal Medicine | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2008-08-02 |
| 1730351529 | Troy Harris Dillard | Internal Medicine | 2312 Ne 129th St Ste 120, Vancouver, WA 98686-3236 | 2008-04-01 |
| 1538381884 | Vancouver Primary Care Ps | Internal Medicine | 11719 Ne 95th St, Suite F, Vancouver, WA 98682-2444 | 2007-05-03 |
| 1821115064 | Elaheh N. Tehranchi | Internal Medicine | 2525 Ne 139th St Ste 230, Vancouver, WA 98686 | 2007-03-23 |
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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.