LAWRENCE T KRUPA (NPI# 1558430512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558430512 |
| Entity Type | Individual |
| Full Name | LAWRENCE T KRUPA |
| Credential | MD |
| Practice Address |
18650 Nw Cornell Rd Suite 315 Hillsboro OR 97124-9712 |
| Mailing Address |
18650 Nw Cornell Road Suite 315 Hillsboro OR 97124-9712 |
| Practice Telephone | 5033520468 |
| Practice Fax Number | 5033521024 |
| Mailing Telephone | (503) 352-0469 |
| Mailing Fax Number | 5033521024 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD09991 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
18650 NW CORNELL RD SUITE 315 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109291 | Dolores Orfanakis | Pediatrics | 18650 Stafford Rd, Lake Oswego, OR 97034-7662 | 2010-12-08 |
| 1477616845 | Charlene Sabin | Pediatrics | 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 | 2006-12-18 |
| 1215963160 | Robert E Nickel | Pediatrics | 901 E. 18th St, Eugene, OR 97403-5254 | 2006-06-23 |
| 1285604173 | Donna K Kirchoff | Pediatrics | 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 | 2006-01-24 |
| 1467441006 | Debra L. Koutnik | Pediatrics | 628 N Main St, Ashland, OR 97520-1710 | 2005-10-17 |
| 1114116969 | Michele Raddish | Pediatrics | 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 | 2007-10-17 |
| 1700077088 | James C Ledbetter | Pediatrics | 1510 Division St., Sutie 280, Oregon City, OR 97045 | 2007-08-05 |
| 1457579914 | Gisela Porras Serna | Pediatrics | 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 | 2007-04-23 |
| 1568680239 | Martine Richardson Sacks | Pediatrics | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2007-04-20 |
| 1245455450 | Randall Alan Phelps | Pediatrics | 901 E 18th Ave, Eugene, OR 97403-1354 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
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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.