JUSTIN HADALLER


Address: 501 N Graham St, Suite 580, Portland, OR 97227-1654
Phone: 5035280704

JUSTIN HADALLER (NPI# 1134521909) 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) 1134521909
Entity Type Individual
Full Name JUSTIN HADALLER
Practice Address 501 N Graham St
Suite 580
Portland
OR 97227-1654
Practice Telephone 5035280704
Practice Fax Number 5035280708
Mailing Telephone 5035280704
Mailing Fax Number 5035280708
Enumeration Date 2014-09-23
Last Update Date 2015-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA60494109 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA171878 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 501 N GRAHAM ST
SUITE 580
City PORTLAND
State OR
Zip Code 97227-1654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508869157 Paula Deanne Dietsch Kuiper Physician Assistant 501 N Graham St, Suite 220, Portland, OR 97227-1654 2005-05-27
1811454432 Matthew James Luttrell Registered Nurse 501 N Graham St, Portland, OR 97227-1654 2019-03-01
1831640267 Morgan Sue Huey Physician Assistant 501 N Graham St, Suite 415, Portland, OR 97227-1654 2016-10-20
1093169583 Theresa Mcsherry Nurse Practitioner 501 N Graham St, Suite 555, Portland, OR 97227-1654 2016-04-20
1093172702 Jeremy Alper Pharmacist 501 N Graham St, Portland, OR 97227-1654 2016-01-26
1003287269 Evergreen Prosthetics and Orthotics, LLC Durable Medical Equipment & Medical Supplies 501 N Graham St, Ste 255, Portland, OR 97227-1654 2015-10-14
1316321110 Portland Ear, Nose & Throat Specialists Specialist 501 N Graham St, Suite 455, Portland, OR 97227-1654 2015-07-13
1942693908 Leigh Warsing Physician Assistant 501 N Graham St, Suite 580, Portland, OR 97227-1654 2015-03-13
1932542503 Erica T Ballard Physician Assistant 501 N Graham St, Ste 200, Portland, OR 97227-1654 2013-04-12
1346593357 Portland Neurology & Sleep PC Sleep Specialist, PhD 501 N Graham St, Suite 515, Portland, OR 97227-1654 2012-10-16
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1396250122 Saron Theresa Sufuentes Physician Assistant 578 Nw Marlborough Ave, Portland, OR 97210-3104 2017-12-01
1952775520 Lauren Govier Physician Assistant 501 N Graham St Ste 415, Portland, OR 97227-2006 2015-11-19
1619346368 Ryan Mcmahon Physician Assistant 3415 Ne 20th Ave, Portland, OR 97212-2416 2015-09-23
1881090033 Sanja Bukarac Physician Assistant 20 Buca Run, Portland, ME 04103-1427 2014-11-17
1194130716 Nicole Lessard Physician Assistant 27 Bramhall St, Portland, ME 04102 2014-06-23
1528499910 Elan Kennedy Physician Assistant 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 2013-12-10
1013161405 Lorraine Walburga Gohman Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2008-11-11
1841472065 Mandy Melissa Williams Physician Assistant 265 N Broadway, Portland, OR 97227-1800 2007-11-29
1063612455 Donald R Noel Physician Assistant 10101 Se Main St Ste 3008, Portland, OR 97216-2458 2007-07-23
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97227

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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