CHRISTOPHER LEE COWAN (NPI# 1508079088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508079088 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER LEE COWAN |
| Credential | M.D. |
| Practice Address |
10100 Se Sunnyside Road Clackamas OR 97015 |
| Mailing Address |
9908 Se Mt Scott Blvd Portland OR 97266 |
| Practice Telephone | 5035714970 |
| Mailing Telephone | 5038415055 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | G64589 | CA | Other Service Providers |
| X | 302R00000X | Health Maintenance Organization | MD00036973 | WA | Managed Care Organizations |
| X | 302R00000X | Health Maintenance Organization | MD22737 | OR | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407187594 | Christopher M Cowan | Physical Therapist | 123 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2010-01-29 |
| 1497220669 | Christopher Michael Cowan | Nurse Practitioner | 3300 Main Street, 3rd Fl, Suite A, Springfield, MA 01107-1112 | 2018-10-03 |
| 1407382385 | Christopher Charles Cowan | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-05-11 |
| 1275912180 | Christopher Hugh Cowan | Physician Assistant | 4201 St. Antoine St., Detroit, MI 48201-2502 | 2015-05-26 |
| 1902957715 | Christopher Cowan | Internal Medicine | 1061 Harmon Ave Ste 1003, Fort Stewart, GA 31314-5641 | 2007-01-16 |
| Street Address |
10100 SE SUNNYSIDE ROAD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225131147 | Jay Melvin Schmidt | Physician Assistant | 10100 Se Sunnyside Road, Mt Talbert Medical Office Dept of Neurosurgery, Clackamas, OR 97015 | 2006-09-06 |
| 1376639435 | Peter Zenthoefer | Obstetrics & Gynecology | 10100 Se Sunnyside Road, Clackamas, OR 97015-9764 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236238 | Tracey Wood | Specialist | 15225 Se 82nd Dr, Clackamas, OR 97015-7674 | 2018-05-26 |
| 1396093183 | Dyann S Murphy | Specialist | 13524 Se 145th Ave, Clackamas, OR 97015-6244 | 2012-08-27 |
| 1235494576 | Maya Humphries | Specialist | 8810 Se Sunnybrook Blvd, Suite 100, Clackamas, OR 97015-6843 | 2012-07-12 |
| 1508127986 | Jacqueline Christine | Specialist | 15635 Se 114th Ave, Suite 207, Clackamas, OR 97015-9043 | 2012-06-02 |
| 1548443955 | Clackamas Physical Therapy Associates, Inc. | Specialist | 11203 Se Sunnyside Rd, Clackamas, OR 97015-7787 | 2007-12-07 |
| 1033307822 | Arete Nw LLC | Specialist | 13518 Se 97th Ave, Clackamas, OR 97015-7691 | 2007-10-05 |
| 1568666774 | Amanda Renee Lawson | Specialist | 13110 Se Sunnyside Rd Ste B, Clackamas, OR 97015-8468 | 2007-06-12 |
| 1265644884 | Terri J Martin | Specialist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2007-05-04 |
| 1386787992 | Janet Lynn Garland | Specialist | 8800 Se Sunnyside Rd Ste 214n, Clackamas, OR 97015-5703 | 2007-02-14 |
| 1720120975 | Karen Aiko Miyazono | Specialist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2007-02-13 |
| Find all providers in CLACKAMAS | ||||
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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.