EMILY JUSTUSSON RIDDLE (NPI# 1457767584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457767584 |
| Entity Type | Individual |
| Full Name | EMILY JUSTUSSON RIDDLE |
| Other Name | EMILY ANN MELOCHE JUSTUSSON |
| Credential | MD |
| Practice Address |
3303 Sw Bond Ave Portland OR 97239-4501 |
| Mailing Address |
743 Sw Maplecrest Ct Portland OR 97219-6407 |
| Practice Telephone | 5034947772 |
| Mailing Telephone | 8452426856 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD195374 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 740 S Limestone St, L-441 Kentucky Clinic, Lexington, KY 405360001 | 8593235661 | |
| 3333 Burnet Ave, Location E, Floor4, Mlc 2015, Cincinnati, OH 45229 | 5136364222 | 5136363980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696077 | Emily Riddle | Dietitian, Registered | 7 Hickory Trl, Ithaca, NY 14850-9660 | 2020-03-31 |
| 1609020957 | Emily M Riddle | Counselor | 119 N Barr St, Centralia, MO 65240-1417 | 2008-11-13 |
| Street Address |
3303 SW BOND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174287 | Dawn F. Tilgner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-19 |
| 1376164582 | Marisa Palandri | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-28 |
| 1194345629 | Margaret Alva Mcreynolds | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-24 |
| 1104446392 | Jennifer Crawford | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1093335275 | Mehak Noorani | Speech-Language Pathologist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
| 1497374185 | Ruth Semon | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-13 |
| 1649899675 | Kristin Moore | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-09 |
| 1821627266 | Mollie Ann Suits | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-07 |
| 1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| 1508495037 | Chante Noel Larlee | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
| 1184883381 | Michelle Hannah Cameron | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 | 2008-06-03 |
| 1043484801 | Aimee Lucinda Pierce | Psychiatry & Neurology | 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 | 2008-04-14 |
| 1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
| 1164647061 | Matthew Michael Evans | Psychiatry & Neurology | 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 | 2007-04-16 |
| 1477670255 | Vivek Unni | Psychiatry & Neurology | Chh, 3303 S.w. Bond Ave., Portland, OR 97239 | 2007-03-25 |
| 1780711135 | Holly Elaine Hinson | Psychiatry & Neurology | 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 | 2007-02-27 |
| 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.