OREGON OCCUPATIONAL MEDICINE (NPI# 1215361928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215361928 |
| Entity Type | Organization |
| Organization Name | OREGON OCCUPATIONAL MEDICINE |
| Practice Address |
19365 Sw 65th Ave Ste 100 Tualatin OR 97062-9196 |
| Practice Telephone | 5035635382 |
| Practice Fax Number | 5035635392 |
| Mailing Telephone | 5035635382 |
| Mailing Fax Number | 5035635392 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MR. RODNEY DODGE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5035635382 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON OCCUPATIONAL MEDICINE, INC. | 19365 Sw 65th, Suite 100, Tualatin, OR 97062 |
| Street Address |
19365 SW 65TH AVE STE 100 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992094817 | Mid-columbia Medical Center | Clinic/Center | 1815 E. 19th St, The Dalles, OR 97058-9403 | 2011-03-31 |
| 1275641862 | Merle West Medical Center Inc Dba | Clinic/Center | 2633 Crosby Ave, Klamath Falls, OR 97603-5777 | 2006-08-25 |
| 1902913106 | Michael Laurin Adams | Clinic/Center | 4855 S.w. Western Ave, Kaiser Permanente - Occupational Health, Beaverton, OR 97005-3499 | 2006-08-24 |
| 1306230917 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2015-03-20 |
| 1386903474 | Good Samaritan Hospital Corvallis | Clinic/Center | 2555 Ne Belvue St, Corvallis, OR 97330 | 2012-05-09 |
| 1518251396 | Prov Health Sys-or Shared Sys Div | Clinic/Center | 5050 Ne Hoyt St, Suite B48, Portland, OR 97213-2944 | 2011-06-08 |
| 1699090043 | Work Capacities LLC | Clinic/Center | 2275 Ne Doctors Dr, Suite 4, Bend, OR 97701-6324 | 2010-03-29 |
| 1306174438 | Providence Health & Services - Oregon | Clinic/Center | 18610 Nw Cornell Rd, Suite 204, Hillsboro, OR 97124-9204 | 2009-12-01 |
| 1114255247 | Providence Health & Services - Oregon | Clinic/Center | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2530 | 2009-12-01 |
| 1457689598 | Providence Health & Services Oregon | Clinic/Center | 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015 | 2009-12-01 |
| 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.