GALE A RYDELL (NPI# 1407840499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407840499 |
| Entity Type | Individual |
| Full Name | GALE A RYDELL |
| Credential | MD |
| Practice Address |
1960 Nw 167th Pl Ste 100 Beaverton OR 97006 |
| Mailing Address |
1960 Nw 167th Pl Ste 200 Beaverton OR 97006 |
| Practice Telephone | 5035313434 |
| Practice Fax Number | 5036454544 |
| Mailing Telephone | 5035312594 |
| Mailing Fax Number | 5034661399 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD17347 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 027891 | 05 |
| Street Address |
1960 NW 167TH PL STE 100 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437561768 | Christine Shrader | Physical Therapist | 1960 Nw 167th Pl, Ste 200, Beaverton, OR 97006-4803 | 2014-05-21 |
| 1649610759 | Rebecca Dobler | Physical Therapist | 1960 Nw 167th Pl, Beaverton, OR 97006-4803 | 2013-07-03 |
| 1013217082 | Todd E Williams | Hearing Instrument Specialist | 1960 Nw 167th Pl, 203, Beaverton, OR 97006-4803 | 2010-10-25 |
| 1770892424 | At Healthcare Holdings Inc. | Hearing Instrument Specialist | 1960 Nw 167th Pl, Ste. 203, Beaverton, OR 97006-4803 | 2010-09-29 |
| 1336457308 | Michael Palensky | Audiologist-Hearing Aid Fitter | 1960 Nw 167th Pl, Ste. 203, Beaverton, OR 97006-4803 | 2010-09-23 |
| 1154659209 | Thomas W Lyttle | Physical Therapist | 1960 Nw 167th Pl, Suite 200, Beaverton, OR 97006-4803 | 2009-12-01 |
| 1386971836 | Dr Gerald W Miller Md PC | Clinic/Center | 1960 Nw 167th Pl, Suite 103, Beaverton, OR 97006-4803 | 2009-11-04 |
| 1083701833 | Edmund Howard Torkelson | Internal Medicine | 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006-4803 | 2006-10-05 |
| 1235222514 | Keith E Miller | Family Medicine | 1960 Nw 167th Pl, Suite 100, Beaverton, OR 97006-4803 | 2006-10-01 |
| 1134100498 | Patrick A Ambiel | Physician Assistant | 1960 Nw 167th Pl, Beaverton, OR 97006-4804 | 2005-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558385971 | Marcus Christopher Luce | Pediatrics | 16280 Nw Bethany Ct, Beaverton, OR 97006-4887 | 2006-07-27 |
| 1235131624 | Dean A Moshofsky | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2005-08-15 |
| 1528066859 | Pediatric Associates of The Northwest, PC | Pediatrics | 14795 Sw Murray Schools Dr., Suite 121, Beaverton, OR 97007 | 2005-07-11 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1689092264 | Jason Dukmin Soh | Pediatrics | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-04-01 |
| 1265872923 | Monica Saladik | Pediatrics | 1960 Nw 167th Pl Ste 103, Beaverton, OR 97006 | 2013-06-26 |
| 1053630491 | Careoregon Community Health, LLC | Pediatrics | 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006-4584 | 2010-05-25 |
| 1407173040 | Kimberly Ann Cummings | Pediatrics | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2010-04-21 |
| 1417151382 | Sara Murdick | Pediatrics | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2007-06-13 |
| 1306047881 | Thomas Jeffrey Anderson II | Pediatrics | 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006-7357 | 2007-05-30 |
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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.