DR. ALICE KING (NPI# 1194788752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194788752 |
| Entity Type | Individual |
| Full Name | DR. ALICE KING |
| Credential | MD |
| Practice Address |
8645 Se Sunnybrook Blvd # 200 Clackamas OR 97015-6841 |
| Practice Telephone | 5036591694 |
| Practice Fax Number | 5036598984 |
| Mailing Telephone | 5036591694 |
| Mailing Fax Number | 5036598984 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD184900 | OR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | L8768 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 E President George Bush Hwy, Suite 250, Richardson, TX 750823542 | 2143436663 | 2143432814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891858890 | Alice Meree King | Counselor | 4101 Ne Division St Ste 100, Telecare Corp, Gresham, OR 97030-4617 | 2006-12-19 |
| 1730734716 | Alice M King | Physical Therapy Assistant | 200 Governors Ave, Medford, MA 02155-1644 | 2019-08-06 |
| 1841741667 | Alice King | Social Worker | 1555 Elm St, Manchester, NH 03101-1203 | 2016-10-17 |
| 1417186453 | Alice King | Surgery | 6701 Fannin St, Houston, TX 77030-2608 | 2009-07-13 |
| 1982634408 | Alice Mae King | Social Worker | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-07-03 |
| 1922035906 | Alice Louietta King | Nurse Practitioner | 3000 S Mccall Rd, Englewood, FL 34224-8616 | 2006-06-27 |
| 1508851999 | Alice M King | Psychiatry & Neurology | 1255 Golfview Ave, Bartow, FL 33830-6736 | 2005-09-13 |
| Street Address |
8645 SE SUNNYBROOK BLVD # 200 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114453438 | Stephanie Davies Hunt Toder | Pediatrics | 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015-6841 | 2017-05-05 |
| 1134650955 | Amanda Ankeny | Pediatrics | 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015-6841 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154416535 | Maria R Constien | Pediatrics | Mt. Scott Medical Office, 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-10-03 |
| 1275579906 | Rupa K. Shah, Md, PC | Pediatrics | 8645 Se Sunnybrook Blvd #200, Clackamas, OR 97015-6841 | 2006-06-21 |
| 1457397176 | Bassam George Hadeed | Pediatrics | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2006-06-21 |
| 1831132414 | Jeffrey Stephen Liebo | Pediatrics | 9980 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2006-06-13 |
| 1114453438 | Stephanie Davies Hunt Toder | Pediatrics | 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015-6841 | 2017-05-05 |
| 1134650955 | Amanda Ankeny | Pediatrics | 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015-6841 | 2017-03-23 |
| 1598200180 | Aaron Klein | Pediatrics | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2017-01-05 |
| 1073967121 | Nancy Tran Chen | Pediatrics | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2016-04-14 |
| 1548678402 | Ankur Shah | Pediatrics | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2014-07-23 |
| 1316359474 | Ryan Hassan | Pediatrics | 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015-6841 | 2014-05-23 |
| Find all providers in CLACKAMAS | ||||
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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.