ELLEN L ANDRAE (NPI# 1427248202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427248202 |
| Entity Type | Individual |
| Full Name | ELLEN L ANDRAE |
| Other Name | ELLEN LOUISE ULRIKA ANDRAE |
| Credential | MD |
| Practice Address |
1003 Providence Dr Suite 110 Newberg OR 97132-7521 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5035375900 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD151662 | OR | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A98807 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RR MEDICARE - PROVIDENCE | P00873834 | 01 |
| Street Address |
1003 PROVIDENCE DR SUITE 110 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363190 | Joshua Laurence Johnson IIi | Psychiatry & Neurology | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2005-08-19 |
| 1275008096 | Anna L Hiebert | Nurse Practitioner | 1003 Providence Dr, Newberg, OR 97132-7521 | 2018-10-08 |
| 1285091892 | Brandy Hayes | Nurse Practitioner | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2016-01-27 |
| 1508267253 | Amanda S Pinzon | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-09-12 |
| 1558787051 | Katherine Schneidmiller | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-03-09 |
| 1073943270 | Katherine Forba | Physician Assistant | 1003 Providence Dr, #210, Newberg, OR 97132-7521 | 2013-11-25 |
| 1447688916 | Jeri Turgesen | Psychologist | 1003 Providence Dr, Suite 101, Newberg, OR 97132-7521 | 2013-10-21 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
| 1225378615 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363190 | Joshua Laurence Johnson IIi | Psychiatry & Neurology | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2005-08-19 |
| 1770741852 | Karleen Swarztrauber | Psychiatry & Neurology | 506 Villa Rd, Newberg, OR 97132-1833 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639690704 | Tuality Medical Group LLC | Psychiatry & Neurology | 364 Se 8th Ave Ste 101, Hillsboro, OR 97123-4243 | 2017-06-29 |
| 1659891455 | Weller Neurology LLC | Psychiatry & Neurology | 24900 Se Stark St Ste 211, Gresham, OR 97030-3382 | 2017-06-22 |
| 1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
| 1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
| 1487073789 | Tracy Bazan | Psychiatry & Neurology | 10330 Se 32nd Ave Ste 226, Milwaukie, OR 97222-6699 | 2014-04-15 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1790078608 | George Reeves Throop IIi | Psychiatry & Neurology | 1142 Nw Scenic Dr, Albany, OR 97321-9669 | 2011-05-25 |
| 1992000228 | Ruchi J Wanchoo | Psychiatry & Neurology | 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 | 2011-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ELLEN L ANDRAE.
| 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.