ELLEN MICHAELSON MD PC (NPI# 1245437110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245437110 |
| Entity Type | Organization |
| Organization Name | ELLEN MICHAELSON MD PC |
| Practice Address |
2456 Nw Northrup St Unit 1-a Portland OR 97210-3253 |
| Practice Telephone | 5032740045 |
| Practice Fax Number | 5032436632 |
| Mailing Telephone | 5032740045 |
| Mailing Fax Number | 5032436632 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | DR. ELLEN MARION MICHAELSON (PRESIDENT) |
| Authorized Official Telephone | 5032740045 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD018281 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TRICARE | A002 | 01 |
| OR | BLUECROSS | 831885000 | 01 |
| Street Address |
2456 NW NORTHRUP ST UNIT 1-A |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154312205 | Susan Elizabeth Strom | Chiropractor | 2456 Nw Northrup St, Suite 1-a, Portland, OR 97210-3253 | 2005-10-28 |
| 1417497439 | Nicole Kilian | Acupuncturist | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2017-02-24 |
| 1366820888 | Benchmark Clinic of Integrative Medicine, PC | Acupuncturist | 2456 Nw Northrup St, 1a, Portland, OR 97210-3253 | 2015-05-16 |
| 1184069775 | Cascadian Neurosurgery PC | Neurological Surgery | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2013-05-08 |
| 1790021616 | Melanie Keller | Naturopath | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2012-12-20 |
| 1205185428 | Gian Andrian Tricomi | Neuromusculoskeletal Medicine & OMM | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2012-09-04 |
| 1922384569 | Grant La Barre Beloof | Psychiatry & Neurology | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2011-10-27 |
| 1740517325 | Edna Kung, Md, PC | Obstetrics & Gynecology | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2009-11-03 |
| 1346574373 | Liza Samson Md LLC | Clinic/Center | 2456 Nw Northrup St, Suite 1a, Portland, OR 97210-3253 | 2009-09-23 |
| 1083841613 | George Miyake Jr. | Massage Therapist | 2456 Nw Northrup St, Suite 1-a, Portland, OR 97210-3253 | 2009-06-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1225329246 | Arpita Gandhi | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Oc14ho, Portland, OR 97239-3098 | 2011-04-25 |
| 1902900384 | Andy I Chen | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn73c, Portland, OR 97239-3011 | 2006-09-07 |
| 1073532412 | Marjorie Ann Boyd | Internal Medicine | 19 Bramhall St, Portland, ME 04102-3101 | 2006-07-18 |
| 1851718860 | Sven Olson | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-27 |
| 1144589268 | Joseph James Shatzel | Internal Medicine | 3303 Sw Bond Ave Ste 7, Portland, OR 97239 | 2012-05-09 |
| 1235405317 | Derek Galligan | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2012-03-22 |
| 1770748121 | Kim-hien Thi Dao | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Mail Code Uhn73c, Portland, OR 97239-3011 | 2008-07-25 |
| 1821204934 | Emma C Scott | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-05-15 |
| 1619182946 | Uma Madhav Borate | Internal Medicine | 3181 Sw Sam Jackson Park Rd # L586, Portland, OR 97239-3011 | 2007-05-11 |
| 1962599910 | Grover Carlton Bagby Jr. | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-10-09 |
| Find all providers in PORTLAND | ||||
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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.