MD SQUARED (NPI# 1285988444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285988444 |
Entity Type | Organization |
Organization Name | MD SQUARED |
Practice Address |
22400 Salamo Rd Ste 201 West Linn OR 97068-8269 |
Mailing Address |
8205 Sw Creekside Pl 150 Beaverton OR 97008-7108 |
Practice Telephone | 5037237234 |
Mailing Telephone | 5039682885 |
Enumeration Date | 2012-11-08 |
Last Update Date | 2013-09-25 |
Authorized Official Name | DR. JENNIFER MILLER-DAVIS (PRESIDENT) |
Authorized Official Telephone | 5037237234 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD26751 | OR | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | MD Squared LLC | 8107 Buford Oaks Drive, North Chesterfield, Virginia 23235 |
New York State Corporations | MD SQUARED PROPERTY GROUP, LLC | 801 Second Avenue, Ste 404, New York, Ny 10017 |
Connecticut Business Registrations | MD SQUARED PROPERTY GROUP, LLC | 801 Second Avenue, Suite 404, 801 Second Avenue, Suite 404, New York, NY 10017 |
New York State Corporations | MD SQUARED, INC. | 36-36 33rd Street; Suite 204, Long Island City, Ny 11106 |
Washington State Corporations | MD SQUARED, LLC | 79 Trask Lane, Bay Center, WA 98527 |
Street Address |
22400 SALAMO RD STE 201 |
City | WEST LINN |
State | OR |
Zip Code | 97068-8269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
Find all providers in zip 97068 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528311123 | Farnaz Dana Fakhari, Md, PC | Clinic/Center | 18380 Willamette Dr Ste 201, West Linn, OR 97068-1200 | 2012-10-19 |
1649378076 | Cascade Summit Family Practice PC | Clinic/Center | 22400 S Salamo Road, Suite 101, West Linn, OR 97068 | 2006-09-20 |
1508037482 | Virginia San Miguel Md PC | Clinic/Center | 21810 Willamette Dr, West Linn, OR 97068-3256 | 2008-03-18 |
1932325511 | Marylhurst Ear, Nose, Throat, Head & Neck Surgery | Clinic/Center | 18380 Willamette Dr, Suite 201, West Linn, OR 97068-1200 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
Find all providers with the same taxonomy |
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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.