MICHAEL J RAIFE (NPI# 1396854121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396854121 |
| Entity Type | Individual |
| Full Name | MICHAEL J RAIFE |
| Credential | MD |
| Practice Address |
727 S Wahanna Road Portland OR 97138-7735 |
| Mailing Address |
Po Box 3397 Portland OR 97208-3397 |
| Practice Telephone | 5037177000 |
| Practice Fax Number | 5037177476 |
| Mailing Telephone | 5037177000 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD23162 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287465 | 05 |
| Street Address |
727 S WAHANNA ROAD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97138-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1538332291 | James T Pappas, Md, PC | Urology | 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 | 2008-04-02 |
| 1679775241 | James Francis Tycast | Urology | 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 | 2007-06-04 |
| 1255546982 | Nicholas A Boncher | Urology | 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 | 2007-05-14 |
| 1740329366 | Jaroslava Zoubek | Urology | 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 | 2007-02-06 |
| 1992809966 | Bruce Henry Blank | Urology | 164 Nw Macleay Blvd, Portland, OR 97210-3323 | 2006-09-12 |
| 1184660813 | Kirit S Shah | Urology | 171 Ne 102nd Avenue, Portland, OR 97220-4169 | 2006-06-21 |
| 1134173032 | Christopher Lee Amling | Urology | 3303 Sw Bond Ave, Mail Code Ch10u, Ohsu, Urology, Portland, OR 97239 | 2006-05-22 |
| 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.