DR. NATASA PETRAC (NPI# 1578508214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578508214 |
| Entity Type | Individual |
| Full Name | DR. NATASA PETRAC |
| Credential | M.D. |
| Practice Address |
6355 Ne Cornell Rd Suite 100 Hillsboro OR 97124-5434 |
| Practice Telephone | 5035973130 |
| Mailing Telephone | 5035973130 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD28646 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
6355 NE CORNELL RD SUITE 100 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932491032 | Jessica Lynn Hart | Nurse Practitioner | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2011-05-06 |
| 1356647168 | Tuality Healthcare | Clinic/Center | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2011-01-27 |
| 1124339544 | Heather Rebecca Holmes | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2010-06-30 |
| 1457589236 | Elizabeth Ann Tindall | Internal Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2009-06-30 |
| 1518142504 | Radhika Suryadevara | Internal Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2008-01-08 |
| 1538275276 | Kesavan Prakash | Internal Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-08-23 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215267539 | Joseph Michael Murley | Family Medicine | 215 Sw Adams Ave, Ms:33, Hillsboro, OR 97123-3874 | 2010-01-08 |
| 1225013709 | Michael Francis Reeh | Family Medicine | 104 N Washington St, Hillsboro, KS 67063-1614 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
| 1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
| 1366589905 | Bruce W Duffy | Family Medicine | 4182 Vitae Springs Rd S, Salem, OR 97306-9705 | 2007-01-31 |
| 1518028976 | Samuel S Suk | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2006-12-12 |
| 1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
| 1225117625 | Barbara Ellen Moore | Family Medicine | 4311 Melqua Rd, Roseburg, OR 97470-8953 | 2006-11-04 |
| 1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
| 1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| 1962975284 | Rachel Marie Nolan | Family Medicine | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. NATASA PETRAC.
| 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.