HOUSECALL PROVIDERS, PC (NPI# 1396274817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396274817 |
Entity Type | Organization |
Organization Name | HOUSECALL PROVIDERS, PC |
Other Organization Name | HOUSECALL PROVIDERS, INC |
Practice Address |
5100 Sw Macadam Ave Ste 200 Portland OR 97239-3827 |
Mailing Address |
315 Sw 5th Ave Portland OR 97204-1753 |
Practice Telephone | 9712025500 |
Practice Fax Number | 9712025555 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-23 |
Authorized Official Name | THERESA K. LEARN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5034161415 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers | ||
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Housecall Providers, Inc | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770071862 | Housecall Providers, PC | Case Management | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2018-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | HOUSECALL PROVIDERS, PC | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239 |
Street Address |
5100 SW MACADAM AVE STE 200 |
City | PORTLAND |
State | OR |
Zip Code | 97239-3827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285690826 | Pamela R Miner | Internal Medicine | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2006-04-22 |
1770071862 | Housecall Providers, PC | Case Management | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2018-04-25 |
1174051668 | Housecall Providers Services, LLC | Hospice Care, Community Based | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2017-05-26 |
1700132909 | Sarah J Marzolf | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2012-07-25 |
1235408048 | Michael Dawson | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2011-12-22 |
1598042764 | Ivan A Wang | Physician Assistant | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2011-11-15 |
1841473907 | Gary Allen Gelardo | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-12-12 |
1043222862 | Erika Luxhoj Byers | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Suite 60, Portland, OR 97239-3827 | 2006-08-12 |
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 | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
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://wwwtheabfm.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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
1457876633 | Kristie Lynn Mitchell | Family Medicine | 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 | 2017-08-08 |
1790122927 | Emily Livia Carter | Family Medicine | 66 Bramhall St, Portland, ME 04102-3344 | 2013-05-29 |
1285869420 | Chester C Suske | Family Medicine | 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 | 2009-05-18 |
1568615649 | Progressive Medical Care LLC | Family Medicine | 335 Brighton Ave, Portland, ME 04102-2363 | 2008-11-03 |
1164610242 | Mainehealth | Family Medicine | 22 Bramhall St, Portland, ME 04102 | 2007-10-15 |
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.