CAROL L OTIS (NPI# 1326688995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326688995 |
| Entity Type | Individual |
| Full Name | CAROL L OTIS |
| Credential | MD |
| Practice Address |
0836 Sw Curry St Unit 1400 Portland OR 97239-4529 |
| Practice Telephone | 3107049796 |
| Mailing Telephone | 3107049796 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
G39461 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
0836 SW CURRY ST UNIT 1400 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4529 |
| 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 | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1447705801 | Pursuit Sports Medicine, LLC | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2016-08-16 |
| 1689785925 | Paul W Johnson | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2006-08-31 |
| 1255386066 | Jeffrey J Bean | Internal Medicine | 33 Sewall St, Portland, ME 04102-2603 | 2006-05-23 |
| 1164423117 | William M Heinz | Internal Medicine | 33 Sewall St, Portland, ME 04102 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235307331 | Jimmy Huebert Md Inc | Internal Medicine | 6464 Sw Borland Rd Ste D2, Tualatin, OR 97062-8861 | 2008-02-12 |
| 1225050834 | Jimmy Dee Huebert | Internal Medicine | 19824 Sw 72nd Ave, Suite 101, Tualatin, OR 97062-8397 | 2006-07-24 |
| 1932615507 | Sonrisa Alison Street | Internal Medicine | 16315 Sw Barrows Rd Ste 203a, Beaverton, OR 97007-9461 | 2017-12-19 |
| 1649604075 | The Sports & Spine Center PC | Internal Medicine | 19824 Sw 72nd Ave, 101, Tualatin, OR 97062-8397 | 2013-08-21 |
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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.