KRISTEN ERICH (NPI# 1336676634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336676634 |
| Entity Type | Individual |
| Full Name | KRISTEN ERICH |
| Practice Address |
304 Ne Hood Ave Gresham OR 97030-7450 |
| Practice Telephone | (503) 666-1333 |
| Practice Fax Number | 5036662444 |
| Mailing Telephone | 5036661333 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
13285 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TAX ID | 204799231 | 01 |
| Street Address |
304 NE HOOD AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161261 | Mollie Wang | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-10-14 |
| 1790398816 | Brooke Demarest | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-08-28 |
| 1992318000 | Ellee Daskalos Nakashima | Physical Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-08-28 |
| 1932726197 | Katherine Lynn Woodworth | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-07-02 |
| 1215554472 | Mackenzie Russell | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-07-02 |
| 1114543329 | Mckenzie Carol Rushcamp | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-06-23 |
| 1164055539 | Jamie G Morton | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-02-13 |
| 1821621293 | Abigail Katheryn Feltner Smith | Occupational Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2020-02-13 |
| 1588213896 | Paige Ryan Rhodes | Physical Therapist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2019-09-09 |
| 1477100170 | Karla Gill | Speech-Language Pathologist | 304 Ne Hood Ave, Gresham, OR 97030-7450 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827380 | Carrie Elizabeth Jones | Physical Medicine & Rehabilitation | 2801 N Gantenbein Ave Ste 2225, Legacy Emanuel Pediatric Development and Rehab, Portland, OR 97227-1623 | 2007-04-04 |
| 1922158377 | Shawn D Axten | Physical Medicine & Rehabilitation | 2955 N Hwy 97, 100, Bend, OR 97703-7559 | 2007-01-10 |
| 1053387894 | Steven Janselewitz | Physical Medicine & Rehabilitation | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-02-23 |
| 1730154618 | Janice L. Cockrell | Physical Medicine & Rehabilitation | 2801 N Gantenbein Ave, Suite 2225, Portland, OR 97227-1623 | 2006-02-22 |
| 1851366801 | Mark M Shih | Physical Medicine & Rehabilitation | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-02-22 |
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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.