KAREN SUE ULLOTH


Address: 2222 Nw Lovejoy St, Suite 322, Portland, OR 97210-5101
Phone: 5032297224

KAREN SUE ULLOTH (NPI# 1235181439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235181439
Entity Type Individual
Full Name KAREN SUE ULLOTH
Credential M.D.
Practice Address 2222 Nw Lovejoy St
Suite 322
Portland
OR 97210-5101
Practice Telephone 5032297224
Practice Fax Number 5032298175
Mailing Telephone 5032297224
Mailing Fax Number 5032298175
Enumeration Date 2006-05-16
Last Update Date 2011-11-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD16793 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 010244 05

Office Location

Street Address 2222 NW LOVEJOY ST
SUITE 322
City PORTLAND
State OR
Zip Code 97210-5101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184626970 Robert Louis Courtox Physician Assistant 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 2005-08-11
1083193338 Suzanna Davis Barnhart Nurse Practitioner 2222 Nw Lovejoy St, Portland, OR 97210-3033 2018-08-08
1447705801 Pursuit Sports Medicine, LLC Internal Medicine 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 2016-08-16
1578923751 Pdxent and Audiology Medical Group PC Otolaryngology 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 2016-03-01
1669840443 Melissa Dolbec Registered Nurse 2222 Nw Lovejoy St, Portland, OR 97210-3033 2015-09-09
1043649908 Angela Massoni-blaine Nurse Practitioner 2222 Nw Lovejoy St, Portland, OR 97210-3033 2013-11-01
1851726319 Dustin M Bronsdon Audiologist 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 2013-09-03
1932467008 Maxwell C. Furr, M.d. LLC Specialist 2222 Nw Lovejoy St, Ste 607, Portland, OR 97210-3033 2012-04-26
1619241551 Brett Anthony Quarles Physician Assistant 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 2012-02-23
1598054132 Peter Jackson Internal Medicine 2222 Nw Lovejoy St, #411, Portland, OR 97210-3033 2011-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386168029 Northwest Minimally Invasive Surgery, LLC Surgery 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 2017-08-02
1366897399 Andreas Hennig Surgery 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 2016-04-27
1871989467 Cameron Cangelose Surgery 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 2015-04-09
1396157962 Fernando Leon Surgery 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 2014-05-29
1114337466 Thomas B Knowles Surgery 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 2014-05-07
1659714160 Sean Tyler Watters Surgery 5050 Ne Hoyt St Ste 651, Portland, OR 97213 2013-04-15
1528301926 Vincent A. Reger, Md PC Surgery 9155 Sw Barnes Rd Ste 406, Portland, OR 97225-6641 2013-04-03
1235496944 Lori Cardwell Surgery Ohsu Gastrointestinal & General Surgery At Chh, 3303 Sw Bond Avenue, Portland, OR 97239-4501 2012-04-19
1053678284 Tyler Scott Mittelstaedt Surgery 9200 Se 91st Ave Ste 320, Portland, OR 97086-3756 2012-04-12
1285990721 John David Webber Surgery 12155 Sw Wildwood St, Portland, OR 97224-2919 2012-04-10
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97210

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Dataset Information

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.

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