DR. DAVID N WESTERDAHL


Address: 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191
Phone: 5037476376

DR. DAVID N WESTERDAHL (NPI# 1356305023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356305023
Entity Type Individual
Full Name DR. DAVID N WESTERDAHL
Credential M.D.
Practice Address 12672 Nw Barnes Rd Ste 100
Portland
OR 97229-6191
Practice Telephone 5037476376
Practice Fax Number 5035308406
Mailing Telephone 5037476376
Mailing Fax Number 5035308406
Enumeration Date 2006-04-12
Last Update Date 2020-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
MD186427 OR Allopathic & Osteopathic Physicians
N 207QS0010X Family Medicine
Specialization: Sports Medicine
ME0084094 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 270794200 05

Office Location

Street Address 12672 NW BARNES RD STE 100
City PORTLAND
State OR
Zip Code 97229-6191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346863727 Sports Health Northwest Inc Family Medicine 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2020-05-20
1124507827 Portland Foot and Ankle Institute, LLC Podiatrist 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2018-08-13
1255547782 Maureen Shenker Physician Assistant 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2007-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom Counselor 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1568988913 Hannah Hendrix Klingelheber Speech-Language Pathologist 15605 Nw Ryegrass St., Portland, OR 97229 2017-08-17
1548791213 Adeline Mitchell Registered Nurse 14600 Sw Cornell Rd., Portland, OR 97229 2017-03-24
1538610670 Crystal Graves Peer Specialist 14600 Nw Cornell, Portland, OR 97229 2016-10-24
1639533185 Evelin James Dental Hygienist 5879 Nw Lark Meadow Ter, Portland, OR 97229 2016-04-11
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is 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 health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801079074 Jennifer Dawn Kleinman Family Medicine 5704 N Montana Ave, Portland, OR 97217-4643 2007-12-11
1871558353 Douglas Bruce Mckeag Family Medicine 4411 Sw Vermont St, Portland, OR 97219-1020 2006-04-19
1396739520 William W Dexter Family Medicine 272 Congress St, Portland, ME 04102 2005-09-02
1346863727 Sports Health Northwest Inc Family Medicine 12672 Nw Barnes Rd Ste 100, Portland, OR 97229-6191 2020-05-20
1518347897 James Suchy Family Medicine 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3079 2015-06-02
1508278904 James Alex Family Medicine 22 Bramhall St, Portland, ME 04102-3134 2014-05-20
1407266778 Mary Iaculli Family Medicine 331 Veranda St, Portland, ME 04103-5545 2014-05-07
1114213667 Alison Savage Lee Family Medicine 33 Sewall St, Portland, ME 04102-2603 2011-06-23
1952575391 Melissa A. Novak Family Medicine 4411 Sw Vermont St, Gabriel Park Family Health Center, Portland, OR 97219-1020 2008-04-16
1174793301 Ryan Carl Petering Family Medicine 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2008-03-04
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97229

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Dataset Information

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.

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