SRIVIDHYA SUBRAMANIAN (NPI# 1487157228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487157228 |
| Entity Type | Individual |
| Full Name | SRIVIDHYA SUBRAMANIAN |
| Practice Address |
3900 Pacific Ave Forest Grove OR 97116-2226 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 9713033548 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3900 PACIFIC AVE |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670182 | Pci Care Venture I Inc. | Skilled Nursing Facility | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2005-09-21 |
| 1437773595 | Emily Heiberg | Dietitian, Registered | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2020-06-04 |
| 1730725185 | Anna Whitley Hall | Occupational Therapist | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2019-11-20 |
| 1578029369 | Ashley Guieb | Occupational Therapist | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2019-02-16 |
| 1285101725 | Julia Mcewen | Case Manager/Care Coordinator | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2018-11-01 |
| 1922504703 | Bethany Joy Bick | Nurse Practitioner | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2018-04-02 |
| 1699291179 | Noah Wilson-fey | Case Manager/Care Coordinator | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2017-08-16 |
| 1699203208 | Whitney K Howe | Physical Therapist | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2017-05-25 |
| 1043747660 | Courtney Souza | Occupational Therapist | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2017-05-13 |
| 1871037192 | Anastasia Cohen | Counselor | 3900 Pacific Ave, Forest Grove, OR 97116-2226 | 2016-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588027155 | Evelyn Lo | Student in an Organized Health Care Education/Training Program | 2110 Charlie Ct, Forest Grove, OR 97116-2953 | 2016-04-01 |
| 1164885554 | Natasha Chrenek | Student in an Organized Health Care Education/Training Program | 2501 Carson Loop, Forest Grove, OR 97116-1632 | 2016-04-01 |
| 1639421977 | Evan Wollen | Student in an Organized Health Care Education/Training Program | 2210 C St Apt 5, Forest Grove, OR 97116-1654 | 2012-10-10 |
| 1891047130 | Ian Jameson | Student in an Organized Health Care Education/Training Program | 2508 Pacific Ave, Apt. #2, Forest Grove, OR 97116-2377 | 2012-10-10 |
| 1144572488 | John Edward Sweeney | Student in an Organized Health Care Education/Training Program | 3010 22nd Ave Apt 31, Forest Grove, OR 97116-1884 | 2012-10-10 |
| 1962762393 | Corey Lee Kisser | Student in an Organized Health Care Education/Training Program | 3541 17th Ct, Forest Grove, OR 97116-2102 | 2012-05-18 |
| 1487925947 | Yen Dang | Student in an Organized Health Care Education/Training Program | 2523 Williams St, Forest Grove, OR 97116-3078 | 2012-01-14 |
| 1063797124 | Scott Irvine | Student in an Organized Health Care Education/Training Program | 1955 27th Ave, Forest Grove, OR 97116-2962 | 2011-10-19 |
| 1760767826 | Nicole Wyman | Student in an Organized Health Care Education/Training Program | 2537 18th Ave, Forest Grove, OR 97116-2511 | 2011-10-19 |
| 1841575909 | Scott Curtis Olson | Student in an Organized Health Care Education/Training Program | 1742 Covey Run Dr Apt B, Forest Grove, OR 97116-2064 | 2011-10-19 |
| Find all providers in FOREST GROVE | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
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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.