DR. DELLA PARKER PC (NPI# 1417335407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417335407 |
| Entity Type | Organization |
| Organization Name | DR. DELLA PARKER PC |
| Practice Address |
13112 Ne Halsey St Portland OR 97230-2350 |
| Practice Telephone | 5032523952 |
| Mailing Telephone | 5032523952 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | DR. DELLA PARKER (OWNER) |
| Authorized Official Telephone | 5032523952 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. DELLA PARKER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 1824 | OR | Managed Care Organizations |
| Street Address |
13112 NE HALSEY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164522702 | Arah Mae Mclaughlin | Chiropractor | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2006-09-24 |
| 1902449879 | Kelsie Buchanan | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2019-10-23 |
| 1659913903 | Alexandra Antonia Jenkins | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2019-10-08 |
| 1073040945 | Taylor Justine Mohr | Chiropractor | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2017-05-22 |
| 1558753830 | Kristin Kayfes | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2015-02-24 |
| 1265774772 | Jennifer Carin Hayes | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2013-03-22 |
| 1790022291 | Jennifer Stelzer | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2013-01-03 |
| 1275887002 | Cira Nicole Lyles | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2012-10-31 |
| 1073834610 | Hope Elisabeth Mckee | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230 | 2010-06-17 |
| 1114197480 | Jasper Marie Gauthier | Massage Therapist | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2008-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 1366882318 | Radu Pescarus | Preferred Provider Organization | 408 Nw 12th Ave Apt 304, Portland, OR 97209-2945 | 2013-07-04 |
| 1679703458 | Intercultual Psychiatric Progam | Preferred Provider Organization | 3633 Se 35th Place, Portland, OR 97202 | 2009-07-15 |
| 1811940422 | Healthcare Resources Northwest Inc | Preferred Provider Organization | 305 Ne 102nd Ave, Suite 250, Portland, OR 97220-4161 | 2006-05-18 |
| 1356348106 | Cascade 205 Orthopedic and Sports Physical Therapy, PC | Preferred Provider Organization | 9260 Se Stark St, Suite B, Portland, OR 97216-1640 | 2005-07-07 |
| 1053857482 | Ian Wilkinson Lac | Preferred Provider Organization | 4829 Ne Martin Luther King Blvd, Suite 101, Portland, OR 97211-3491 | 2017-01-09 |
| 1194195453 | Makai Massage & Spa, LLC | Preferred Provider Organization | 3758 Se Milwaukie Ave, Portland, OR 97202-3805 | 2015-09-30 |
| 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.