ANDREW DAVID WHITE (NPI# 1164824546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164824546 |
| Entity Type | Individual |
| Full Name | ANDREW DAVID WHITE |
| Credential | PA-S |
| Practice Address |
535 Ne 6th Ave Estacada OR 97023-9312 |
| Mailing Address |
4555 N Williams Ave Portland OR 97217-2955 |
| Practice Telephone | 5036308550 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA173943 | OR | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500698127 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 Se Elliott Dr, Gresham, OR 970806476 | 9712753741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
| 1609368836 | Andrew Kyle White | Dentist | 14054 E 54 Hwy, Nevada, MO 64772-7232 | 2018-06-04 |
| 1073043774 | Andrew White | Physical Therapy Assistant | 312 Millbury Ave, Millbury, MA 01527-3622 | 2017-06-14 |
| 1831539253 | Andrew Wesley White | Emergency Medicine | 1120 15th St # Af1006, Augusta, GA 30912-4500 | 2013-06-29 |
| 1760627004 | Andrew Jason White | Registered Nurse | 150 Reed Ave, Syracuse, NY 13207-1108 | 2008-12-15 |
| 1376566885 | Andrew J. White | Chiropractor | 2019 W 1900 S, Suite 100, Syracuse, UT 84075-9579 | 2006-07-25 |
| 1295769768 | Andrew Oliver White | Family Medicine | 1302 South Broad Street, Scottsboro, AL 35768-2514 | 2006-07-10 |
| 1285254615 | Andrew William White | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-04-27 |
| 1295395085 | Andrew White | Physical Therapist | 5801 Patterson Ave, Richmond, VA 23226-2536 | 2019-06-14 |
| 1467016378 | Andrew Layton White Jr. | Physician Assistant | 1515 Sw Archer Rd, Gainesville, FL 32608-1134 | 2019-04-25 |
| Street Address |
535 NE 6TH AVE |
| City | ESTACADA |
| State | OR |
| Zip Code | 97023-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801900832 | Laura Stephanie Montez | Family Medicine | 535 Ne 6th Ave, Estacada, OR 97023-9312 | 2006-08-18 |
| 1578917076 | Orchid Oakridge Clinic, P.C. | Clinic/Center | 535 Ne 6th Ave, Estacada, OR 97023-9312 | 2016-04-20 |
| 1407939531 | Jennifer Patrice Checkis | Social Worker | 535 Ne 6th Ave, Estacada, OR 97023-9312 | 2006-10-23 |
| 1518053511 | Micah S. Bicker | Family Medicine | 535 Ne 6th Ave, Estacada, OR 97023-9312 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713575 | Estacada School District 108 | Local Education Agency (LEA) | 255 Ne 6th Avenue, Estacada, OR 97023 | 2019-01-10 |
| 1699261990 | Still Waters Counseling | Counselor | 442 Nw Wade Street, Estacada, OR 97023 | 2018-07-10 |
| 1366936098 | Antonio Clifton Long-drew | Counselor | 478 Nw Wade St, Estacada, OR 97023 | 2018-06-16 |
| 1538402664 | Brian C Gilchrist | Pharmacist | 207 S Broadway St, Estacada, OR 97023 | 2013-03-27 |
| 1164664520 | Amy M Kammerer | Massage Therapist | 810 Ne Hill Way, Estacada, OR 97023 | 2009-04-01 |
| 1700038403 | Andrea Lea Premazzi | Naturopath | 121n Broadway St, Nw Center for Natural Medicine, Estacada, OR 97023 | 2008-10-14 |
| 1851588149 | Assisted Living Concepts Inc | Assisted Living Facility | 380 Nw 6th Avenue, Estacada, OR 97023 | 2007-10-01 |
| 1568661445 | Susan M. Jones | Mechanotherapist | 200 Sw Clubhouse Dr., Estacada, OR 97023 | 2007-07-12 |
| 1518035229 | Mastertech Security Services Inc | Personal Emergency Response Attendant | 303 Sw Zobrist, Estacada, OR 97023 | 2006-12-01 |
| 1598866154 | Russell Eugene Bibb Jr. | Dentist | 103 Sw Hwy 224, Ste A, Estacada, OR 97023 | 2006-09-26 |
| Find all providers in zip 97023 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1639786411 | Bridget Meade-sentosun | Physician Assistant | 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 | 2020-09-25 |
| 1518570738 | Samantha Larelle Williamson | Physician Assistant | 1551 2nd St, Umatilla, OR 97882-9707 | 2020-08-27 |
| 1356951891 | Eric James Humphrey | Physician Assistant | 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 | 2020-08-07 |
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1831712280 | Joshua Sprague | Physician Assistant | 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 | 2020-05-20 |
| 1376165134 | Emily Axelrod | Physician Assistant | 19648 Wildwood Dr, West Linn, OR 97068-2210 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.