MICHAEL R. MCCLUNG MD (NPI# 1154408151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154408151 |
| Entity Type | Organization |
| Organization Name | MICHAEL R. MCCLUNG MD |
| Other Organization Name | ENDOCRINE AND OSTEOPOROSIS ASSOCIATES |
| Practice Address |
417 Sw 117th Ave Ste. 120 Portland OR 97225-5924 |
| Practice Telephone | 5036417173 |
| Practice Fax Number | 5036415254 |
| Mailing Telephone | 5036417173 |
| Mailing Fax Number | 5036415254 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MS. ELIZABETH S. BAILEY (BILLING) |
| Authorized Official Telephone | 5036417173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD10002 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 0472267 | 05 |
| Other Name | Type Code |
|---|---|
| Endocrine And Osteoporosis Associates | Doing Business As Name - Organization |
| Street Address |
417 SW 117TH AVE STE. 120 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666432 | Myrna Antonio Casono | Internal Medicine | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2005-08-11 |
| 1871065649 | Kathryn Elise Burk | Physician Assistant | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2018-12-18 |
| 1447736608 | Jonathan Ryan Fordyce | Nurse Practitioner | 417 Sw 117th Ave, Portland, OR 97225-5924 | 2018-07-11 |
| 1609206036 | Nicole Knigge | Physician Assistant | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2013-11-21 |
| 1669801387 | Karen Ann Ballard | Nurse Practitioner | 417 Sw 117th Ave, Suite 100, Portland, OR 97225-5924 | 2013-11-04 |
| 1043648330 | Yvonne Howell | Physician Assistant | 417 Sw 117th Ave, Suite 200, Portland, OR 97225-5924 | 2013-10-23 |
| 1528250131 | Megan Lear Mudrick | Family Medicine | 417 Sw 117th Ave, Suite 100, Portland, OR 97225-5924 | 2007-08-16 |
| 1346450319 | Jean D Lee | Internal Medicine | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2007-05-22 |
| 1376680918 | Connie Volpi | Physician Assistant | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2007-01-31 |
| 1083714141 | Providence Health & Services - Oregon | Clinic/Center | 417 Sw 117th Ave, 2nd Floor, Portland, OR 97225-5924 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1447563010 | Jeanette Cummings, Dc, PC | Clinic/Center | 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 | 2010-07-23 |
| 1982921607 | Naveen Sachdev Md Inc | Clinic/Center | 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 | 2010-04-21 |
| 1538298336 | Oregon Sleep and Pulmonary, LLC | Clinic/Center | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-03-05 |
| 1538191606 | Northwest Neurological Specialists PC | Clinic/Center | 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 | 2006-07-07 |
| 1659939296 | The Travelling Tao | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1689189151 | Personaleyes, LLC | Clinic/Center | 14740 Nw Cornell Rd, Portland, OR 97229-5496 | 2017-12-06 |
| 1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
| 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.