DR. MATTHEW MASON BOOKWALTER (NPI# 1285705038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285705038 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW MASON BOOKWALTER |
| Credential | DPM |
| Practice Address |
800 Sw 13th Ave Portland OR 97205 |
| Mailing Address |
Po Box Ph Chinle AZ 86503-8000 |
| Practice Telephone | 5032210161 |
| Practice Fax Number | 5032214451 |
| Mailing Telephone | 9286747166 |
| Mailing Fax Number | 9286747705 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP 00347 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 229013 | 05 |
| Street Address |
800 SW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235129891 | Cristina Fe G Mondragon | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2005-10-25 |
| 1407407489 | Chandni Patel | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2019-09-22 |
| 1588148381 | Chelsea Saettone | Social Worker | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-09-18 |
| 1952888281 | Amanda Welter | Physical Therapist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2018-07-19 |
| 1265936058 | Alexander Bulochnik Shteynberg | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2018-03-19 |
| 1851825640 | Pooja Naik | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2017-04-18 |
| 1376906669 | Thomas Dudrey | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2016-04-04 |
| 1497125884 | Stephanie Nicole D'andrea | Nurse Practitioner | 800 Sw 13th Ave, Portland, OR 97205-1999 | 2015-09-29 |
| 1255745097 | Laura Chan | Pharmacist | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2014-06-19 |
| 1407199094 | Yasuyo Diana Umene | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2013-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1538339395 | Joseph Michael Mozena | Podiatrist | 2227 Ne Hancock St, Portland, OR 97212-4873 | 2008-03-08 |
| 1245443100 | Daniel L Nusser | Podiatrist | 2809 Ne Broadway, Portland, OR 97232 | 2007-05-08 |
| 1114048667 | Dr John D Mozena Dpm PC | Podiatrist | 8305 Se Monterey Ave Ste 101, Portland, OR 97266-7728 | 2007-04-03 |
| 1124116231 | Ray A Mcclanahan | Podiatrist | 725 Nw 19th Ave, Portland, OR 97209 | 2006-10-11 |
| 1942392113 | John M Barnes | Podiatrist | 506 Ne 49th Ave, Portland, OR 97213-2928 | 2006-09-28 |
| 1427150028 | Christopher S. Seuferling Dpm PC | Podiatrist | 7940 Se Division St, Suite E, Portland, OR 97206-1046 | 2006-09-03 |
| 1598867186 | Almira Ko | Podiatrist | 3586 Nw 112th Pl, Portland, OR 97229-4585 | 2006-09-02 |
| 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.