ANGIE PAGANO (NPI# 1265794135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265794135 |
| Entity Type | Individual |
| Full Name | ANGIE PAGANO |
| Credential | D.O. |
| Practice Address |
9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 |
| Mailing Address |
2051 Kaen Rd Ste 367 Oregon City OR 97045-4035 |
| Practice Telephone | 5036558471 |
| Mailing Telephone | 5036503110 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 71489-21 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO184246 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 02004315 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201089980 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 973675000 | 5412654947 | |
| 1010 Sw Coast Hwy Ste 203, Newport, OR 973655215 | 5412654947 | 5415747670 |
| 110 Beavercreek Rd, Oregon City, OR 970454307 | 5036558471 |
| Street Address |
9775 SE SUNNYSIDE RD STE 200 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1700313871 | Clifford Daniel Heaberlin | Dentist | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2017-05-18 |
| 1558789636 | Jaime Bartholomew | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2014-04-04 |
| 1366876278 | Eunice L Weberg | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2013-08-27 |
| 1891042487 | Clackamas County | Clinic/Center | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-08-14 |
| 1245594365 | Emily Stewart | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-07-03 |
| 1871855601 | Jennifer Haynes | Case Manager/Care Coordinator | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-06-07 |
| 1144516253 | Cheryl Ann Calcagno | Nurse Practitioner | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2011-06-27 |
| 1003141672 | Emily Marie Ketola | Social Worker | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2009-10-14 |
| 1003140674 | Wendy Anne Batchelor Smith | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2009-09-29 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1447428925 | Cheryl B. Hickethier, PC | Family Medicine | 14831 Se 82nd Dr, Clackamas, OR 97015-7624 | 2008-02-18 |
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1851404230 | David Bruce Mitchell | Family Medicine | 13636 Se Taralon Dr, Clackamas, OR 97015 | 2006-08-17 |
| 1700840675 | Thomas H Hickerson | Family Medicine | 14450 Se Royer Rd, Clackamas, OR 97015-8730 | 2006-04-17 |
| 1194789453 | Larry L Moffett | Family Medicine | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 | 2006-04-13 |
| 1356324842 | Barry N. Davis | Family Medicine | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 | 2005-11-29 |
| 1578559951 | Raymond S Lee | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2005-09-21 |
| 1841647559 | Ewen J Harrison | Family Medicine | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2016-05-23 |
| 1750777066 | Kevin Do | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2015-04-13 |
| 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.