OREGON SPINE CARE LLC (NPI# 1376972182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376972182 |
| Entity Type | Organization |
| Organization Name | OREGON SPINE CARE LLC |
| Other Organization Name | OREGON SPINE CARE |
| Practice Address |
19255 Sw 65th Ave Suite 200 Tualatin OR 97062-7451 |
| Practice Telephone | 5038281150 |
| Practice Fax Number | 5038281160 |
| Mailing Telephone | 5038281150 |
| Mailing Fax Number | 5038281160 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | DR. ROBERT L TATSUMI (OWNER) |
| Authorized Official Telephone | 5038281150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD26166 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oregon Spine Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON SPINE CARE LLC | 19255 Sw 65th Ave, Ste 200, Tualatin, OR 97062 |
| Street Address |
19255 SW 65TH AVE SUITE 200 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906405 | Michael R Vanallen | Specialist | 19255 Sw 65th Ave, Suite 210, Tualatin, OR 97062-7451 | 2005-07-18 |
| 1306208897 | Thomas P. Mcweeney Md PC | Specialist | 19255 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7451 | 2016-03-23 |
| 1003295775 | Proactive Physical Therapy Tualatin | Physical Therapist | 19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062-7451 | 2015-05-27 |
| 1215243316 | Heather Wehling Peterson | Occupational Therapist | 19255 Sw 65th Ave, Suite 210, Tualatin, OR 97062-7451 | 2010-08-26 |
| 1386964401 | Michael Craig Collison | Physical Therapist | 19255 Sw 65th Ave, Ste. 120, Tualatin, OR 97062-7451 | 2010-06-11 |
| 1679897292 | Pediatric Dental Clinic | Dentist | 19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062-7451 | 2010-03-25 |
| 1285863092 | Kevin Applin Hanson | Physical Therapist | 19255 Sw 65th Ave, Suite 120, Tualatin, OR 97062-7451 | 2009-07-14 |
| 1427285436 | Matthew Stephen Rogers | Physical Therapist | 19255 Sw 65th Ave, Suite 120, Tualatin, OR 97062-7451 | 2009-06-17 |
| 1790937662 | Michael R Van Allen Md PC | Physical Medicine & Rehabilitation | 19255 Sw 65th Ave, Suite 210, Tualatin, OR 97062-7451 | 2008-10-22 |
| 1144478553 | Drew Thomas Herion | Dentist | 19255 Sw 65th Ave, Suite 230, Tualatin, OR 97062-7451 | 2008-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942702642 | Robert L Tatsumi Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062-9712 | 2018-03-08 |
| 1992828800 | Robert Tatsumi | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 220, Tualatin, OR 97062-9717 | 2007-04-06 |
| 1437192036 | Mark Cecil Weston | Orthopaedic Surgery | 19255 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7451 | 2006-06-13 |
| 1194716571 | Timothy Lynn Keenen | Orthopaedic Surgery | 19260 Sw 65th Ave Ste 270, Tualatin, OR 97062 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607215 | Spine Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1023516309 | Joint Replacement Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2018-01-31 |
| 1912349580 | Southern Oregon Spine Care, P.C. | Orthopaedic Surgery | 1311 Barnett Road Ste 201, Medford, OR 97504 | 2013-07-24 |
| 1063722262 | Centennial Medical Group North, LLC | Orthopaedic Surgery | 2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348 | 2010-10-21 |
| 1295779734 | Todd Jay Lewis | Orthopaedic Surgery | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3887 | 2006-06-15 |
| 1699763607 | Mark Delano Peterson | Orthopaedic Surgery | 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | 2005-10-12 |
| 1548722614 | Sor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1043605454 | Michael Wheeler | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2015-04-02 |
| 1700203338 | Renuka Reddy Kuruvalli | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Orthopaedic and Rehabilitaion Department, Portland, OR 97239-3011 | 2014-03-20 |
| 1164860193 | Satoshi Kawaguchi | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Op31, Portland, OR 97239-3011 | 2013-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OREGON SPINE CARE LLC.
| 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.