DR. DONALD ALLEN BURRESS (NPI# 1457579468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457579468 |
Entity Type | Individual |
Full Name | DR. DONALD ALLEN BURRESS |
Credential | MD, PHD |
Practice Address |
711 Ne Hood Ave Gresham OR 97030-5612 |
Practice Telephone | 5036655158 |
Practice Fax Number | 5036655159 |
Mailing Telephone | 5036655158 |
Mailing Fax Number | 5036655159 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
MD07309 | OR | Eye and Vision Services Providers |
Street Address |
711 NE HOOD AVE |
City | GRESHAM |
State | OR |
Zip Code | 97030-5612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 156FX1700X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ocularist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689199317 | Christina King | Technician/Technologist | 2525 Nw Lovejoy St Ste 306, Portland, OR 97210-2864 | 2017-08-03 |
1801988373 | Maureen Maloney-schou | Technician/Technologist | 4035 Mercantile Dr Ste 208, Lake Oswego, OR 97035-2591 | 2006-09-29 |
1649379280 | Kevin Schou | Technician/Technologist | 1800 Valley River Dr Ste 300, Eugene, OR 97401-6720 | 2006-09-21 |
1043360977 | Maloney's Custom Ocular Prosthetics, Inc. | Technician/Technologist | 4035 Mercantile Dr Ste 208, Lake Oswego, OR 97035-2591 | 2007-01-11 |
1689669624 | Fredric M Harwin | Technician/Technologist | 2525 Nw Lovejoy St, Ste 306, Portland, OR 97210-2859 | 2005-09-15 |
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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.