BLAKE CARTER OSMUNDSEN (NPI# 1457300550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457300550 |
| Entity Type | Individual |
| Full Name | BLAKE CARTER OSMUNDSEN |
| Credential | MD |
| Practice Address |
5050 Ne Hoyt St Suite 615 Portland OR 97213-2991 |
| Practice Telephone | 5032310407 |
| Practice Fax Number | 5032310484 |
| Mailing Telephone | 5032310407 |
| Mailing Fax Number | 5032310484 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD17368 | OR | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD00044007 | WA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD17368 | OR | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD17368 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028386 | 05 |
| Street Address |
5050 NE HOYT ST SUITE 615 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| 1558810820 | Janina Browne | Physician Assistant | 5050 Ne Hoyt St, 454, Portland, OR 97213-2991 | 2016-09-28 |
| 1285181974 | Lena Soo Hee Wood | Advanced Practice Midwife | 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 | 2016-09-09 |
| 1780131532 | Hayley M Cusick | Physician Assistant | 5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2991 | 2016-09-08 |
| 1801249164 | Lauren Berman | Speech-Language Pathologist | 5050 Ne Hoyt St, #315, Portland, OR 97213 | 2016-07-21 |
| 1457709123 | Emily C. Nguyen, M.d., P.C. | Specialist | 5050 Ne Hoyt St, Suite 611, Portland, OR 97213-2991 | 2016-06-02 |
| 1356798086 | Bryce Beard | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1619324340 | Monica Johnson | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| 1184071813 | Rahwa Shumet Ghebremichael | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 | 2016-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881615102 | Sarah Hamilton Boyles | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-21 |
| 1346255833 | Mary Anna Denman | Obstetrics & Gynecology | 9155 Sw Barnes Rd Ste 735, Portland, OR 97225-6634 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831451079 | Stephen Rogers | Obstetrics & Gynecology | 60500 Arnold Market Rd, Bend, OR 97702-9277 | 2012-06-13 |
| 1477816049 | Daniel Do Hoon Lee | Obstetrics & Gynecology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-06-19 |
| 1891712477 | Connie Sue Dimarco | Obstetrics & Gynecology | 2400 Hartman Ln, Springfield, OR 97477-1118 | 2006-07-17 |
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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.