VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC (NPI# 1174997423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174997423 |
| Entity Type | Organization |
| Organization Name | VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC |
| Practice Address |
2850 Se Powell Valley Rd Suite 205 Gresham OR 97080-1494 |
| Practice Telephone | 5034891998 |
| Practice Fax Number | 5034891975 |
| Mailing Telephone | 5034891998 |
| Mailing Fax Number | 5034891975 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | DR. BENJAMIN LEE HEATH (OWNER) |
| Authorized Official Telephone | 5034846128 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO19719 | OR | Allopathic & Osteopathic Physicians |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
3626 | OR | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
3347 | OR | Chiropractic Providers |
| N | 171100000X | Acupuncturist | AC161122 | OR | Other Service Providers |
| N | 363A00000X | Physician Assistant | PA174721 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 175F00000X | Naturopath | 4006 | OR | Other Service Providers |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
174809 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902214794 | Valleyview Injury & Physical Medicine, PC | Chiropractor | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080 | 2014-07-24 |
| Street Address |
2850 SE POWELL VALLEY RD SUITE 205 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898149 | Kimberly Pohlman | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2005-11-15 |
| 1215582861 | Joshua Gardner Snow | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2019-08-08 |
| 1134609043 | Jennifer Stephens | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2018-08-20 |
| 1114407301 | Crystal Luna | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2018-08-16 |
| 1295248003 | Alexandra Marie Sigmon | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2017-11-15 |
| 1427584077 | Margeaux Danielle Schmerler | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-05-02 |
| 1841737889 | Zubaida Abdulai | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-01-29 |
| 1154872638 | Theresa Rene Jones | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-10-19 |
| 1225481906 | Maci Pfaffenberger | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-07-19 |
| 1487030326 | Alexis Smithers | Registered Nurse | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689020968 | James Anthony Gaudino Jr. | Preventive Medicine | 9061 Sw 38th Ave, Portland, OR 97219-5382 | 2016-05-05 |
| 1467833012 | Beth Hirschfield | Preventive Medicine | 3916 Sw Nevada Ct, Portland, OR 97219-1514 | 2015-06-09 |
| 1316253685 | Richard Howard Cohen | Preventive Medicine | 61243 Gorge View St, Bend, OR 97702-3032 | 2010-08-25 |
| 1073745790 | Susan Mccall | Preventive Medicine | 22260 Sw 102nd Pl, Tualatin, OR 97062-7199 | 2009-08-13 |
| 1568664829 | Andrea Girman | Preventive Medicine | 1905 Ne Wygant St, Portland, OR 97211-5865 | 2007-05-31 |
| 1598978959 | Sharon Elizabeth Smith | Preventive Medicine | 12066 Se 35th Ave., Milwaukie, OR 97222-6830 | 2007-05-08 |
| 1578782678 | Michael Allen Korpa | Preventive Medicine | 1390 Biddle Rd, Medford, OR 97504-4169 | 2007-04-25 |
| 1215153234 | Geoffrey Enochs Beasley | Preventive Medicine | 3181 Sw Sw Sam Jackson Park Rd., Portland, OR 97219 | 2007-04-18 |
| 1164559951 | Anna Marie Lambertson | Preventive Medicine | 824 Solano Cir, Medford, OR 97504 | 2007-02-27 |
| 1104952415 | Vandana H Rana | Preventive Medicine | 17437 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-6202 | 2007-02-23 |
| 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.