DR. SCOTT HARLOW MANDEL (NPI# 1538269725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538269725 |
| Entity Type | Individual |
| Full Name | DR. SCOTT HARLOW MANDEL |
| Credential | M.D. |
| Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
| Practice Telephone | 5036437565 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | WA MD00018494 | WA | Other Service Providers |
| Y | 174400000X | Specialist | OR MD11809 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205137676 | Scott Joseph Mandel | Orthopaedic Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2010-11-16 |
| 1043254568 | Scott Mandel | Internal Medicine | 1010 Northern Blvd, Suite 110, Great Neck, NY 11021-5317 | 2006-06-15 |
| Street Address |
4855 SW WESTERN AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
| 1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
| 1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
| 1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
| 1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
| 1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
| 1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
| 1285142802 | Tiffani O'neill | Counselor | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-01-17 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1265819858 | Tiffani Morning | Specialist | 20873 Sw Ravenswood St, Beaverton, OR 97078-5424 | 2015-05-03 |
| 1558753616 | Trisha Egbert | Specialist | 4400 Sw 110th Ave Ste 101, Beaverton, OR 97005-3033 | 2015-02-26 |
| 1376940981 | Denise Clopton | Specialist | 12947 Sw Cherry Blossom Ct, Beaverton, OR 97008-5675 | 2014-11-25 |
| 1235550633 | Jennifer Gabriel | Specialist | 15075 Nw Oakmont Loop, Beaverton, OR 97006-5506 | 2014-01-02 |
| 1013354315 | Cynthia Ann Munyon | Specialist | 14745 Sw Surrey Ct, Beaverton, OR 97006-5989 | 2013-05-28 |
| 1831536473 | Corey Walden | Specialist | 9610 Sw Sunshine Ct Ste 300-400, Beaverton, OR 97005-4154 | 2013-05-22 |
| 1558628008 | Lisa Marie Campos | Specialist | 1925 Nw 173rd Ave, Apt #1610, Beaverton, OR 97006-7319 | 2012-04-20 |
| 1053616441 | Gina Marie Johnson | Specialist | 2077 Nw Town Center Dr, Beaverton, OR 97006-8938 | 2011-01-17 |
| 1245476811 | Christy L Herbert | Specialist | 957 Sw Willow Creek Dr, Beaverton, OR 97006-2404 | 2009-01-01 |
| 1346499803 | Kathleen Louise Bedford | Specialist | 8155 Sw Hall Blvd, Beaverton, OR 97008-6416 | 2008-09-09 |
| Find all providers in BEAVERTON | ||||
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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.