KARA M BEASLEY (NPI# 1336650159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336650159 |
| Entity Type | Individual |
| Full Name | KARA M BEASLEY |
| Credential | PA |
| Practice Address |
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933 |
| Practice Telephone | 5032145200 |
| Practice Fax Number | 5039066613 |
| Mailing Telephone | 5032145200 |
| Mailing Fax Number | 5039066613 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA185371 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PA LICENSE | PA185371 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811264419 | Kara Beasley | Dietitian, Registered | 1330 Beacon St, Suite 225, Brookline, MA 02446-3282 | 2011-11-27 |
| 1255588190 | Kara Dawn Beasley | Neurological Surgery | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2008-08-21 |
| Street Address |
11782 SW BARNES RD STE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639284714 | Payton Alan Haynes | Specialist/Technologist | 11782 Sw Barnes Rd Ste 300, The Orthopedic & Fracture Clinic, Portland, OR 97225-5933 | 2006-08-20 |
| 1164037065 | Kelsey Marie Lavaute | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2020-09-09 |
| 1649835273 | Kevin Quangkien Mai | Occupational Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2019-05-08 |
| 1871050153 | Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2019-02-22 |
| 1942712047 | Heath L Meir | Physician Assistant | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2017-10-30 |
| 1902242506 | Jeana Lyn Summers | Neuromusculoskeletal Medicine & OMM | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2013-05-22 |
| 1447593967 | Hannah Fae Aultman | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2013-04-03 |
| 1720303308 | Richard Douglas Southgate | Orthopaedic Surgery | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2010-04-07 |
| 1891020673 | Jared Rickard Jones | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2009-10-12 |
| 1780812552 | Ashley H. Carpenter | Physical Therapist | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| 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.