CHARLES A HENRIKSON (NPI# 1235199704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235199704 |
Entity Type | Individual |
Full Name | CHARLES A HENRIKSON |
Credential | MD |
Practice Address |
3181 Sw Sam Jackson Park Rd Division of Cardiology Uhn 62 Portland OR 97239-3011 |
Practice Telephone | 5034948750 |
Practice Fax Number | 5034948550 |
Mailing Telephone | 5034948750 |
Mailing Fax Number | 5034948550 |
Enumeration Date | 2006-03-27 |
Last Update Date | 2011-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD155423 | OR | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
D0056584 | MD | Allopathic & Osteopathic Physicians |
Street Address |
3181 SW SAM JACKSON PARK RD DIVISION OF CARDIOLOGY UHN 62 |
City | PORTLAND |
State | OR |
Zip Code | 97239-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972506301 | Jerris Robert Hedges | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 | 2005-05-31 |
1114528486 | Nathan Stencel | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-11-04 |
1073113064 | Evan Mitchell | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-28 |
1629678834 | Vanessa Davie | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-27 |
1952901480 | Jackie Kim Sharpe | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-26 |
1922607530 | Leah Snyder | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-23 |
1932708740 | Blake Beneville | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2020-10-22 |
1154920833 | Isabelle Nguyen | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-22 |
1124627054 | Musah N Iddrisu | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-21 |
1386242105 | Wenelia Baghoomian | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-10-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104956937 | Heart Rhythm Consultants, P.C. | Internal Medicine | 9427 Sw Barnes Rd Ste 490, Portland, OR 97225-6652 | 2007-03-07 |
1255515938 | Fawaz Alhumaid | Internal Medicine | 10000 Se Main St, Suite 60b, Portland, OR 97216-2448 | 2007-12-18 |
1023104726 | Eric Carl Stecker | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Uhn-62, Portland, OR 97239 | 2006-10-04 |
1598701690 | Paul J Deitering | Internal Medicine | 9427 Sw Barnes Rd, Suite 490, Portland, OR 97225-6652 | 2006-06-20 |
1447258710 | Blair D Halperin | Internal Medicine | 9427 Sw Barnes Rd, Ste 490, Portland, OR 97225-6652 | 2005-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
1528429198 | The Rhythm Clinic LLC | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2016-03-10 |
1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
1770926776 | Providence Health & Services - Oregon | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2013-04-10 |
1639454903 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Salem, OR 97301-0060 | 2011-10-18 |
1548545817 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 | 2011-10-18 |
1235225624 | Matthew C Fedor | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-10-05 |
1366465775 | Kyong T Turk | Internal Medicine | 885 Mission St Se, Salem, OR 97302-6222 | 2006-07-26 |
1013959493 | Salem Cardiology Arrhythmia Division, P.C. | Internal Medicine | 875 Oak St Se, Suite #5040, Salem, OR 97301-3975 | 2006-06-12 |
1578503249 | Wallace I Lai I | Internal Medicine | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2006-06-08 |
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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.