DR. TEDD LEVIN (NPI# 1598744971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598744971 |
| Entity Type | Individual |
| Full Name | DR. TEDD LEVIN |
| Credential | M.D. |
| Practice Address |
5919 Se Belmont St Portland OR 97215-1925 |
| Mailing Address |
32302 Se Oxbow Dr Gresham OR 97080-8954 |
| Practice Telephone | 5032347366 |
| Practice Fax Number | 5032348928 |
| Mailing Telephone | 5036635590 |
| Mailing Fax Number | 5032348928 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
14616 | OR | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
14616 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
5919 SE BELMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929870 | Susan Wade Cato | Nurse Practitioner | 5919 Se Belmont St, Portland, OR 97215-1925 | 2005-11-18 |
| 1548416944 | Mt. Tabor Family Medical Group, P.C. | Non-Pharmacy Dispensing Site | 5919 Se Belmont St, Portland, OR 97215-1925 | 2008-08-18 |
| 1699968784 | Anna Urbanc | Physician Assistant | 5919 Se Belmont St, Portland, OR 97215-1925 | 2007-08-22 |
| 1659468080 | Mt. Tabor Family Medical Group, PC | Clinic/Center | 5919 Se Belmont St, Portland, OR 97215-1925 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421435 | Carehere LLC | Family Medicine | 12106 Ne Ainsworth Cir Ste 5, Portland, OR 97220-9001 | 2019-11-18 |
| 1942201546 | John Denker | Family Medicine | 5622 Se 41st Ave, Portland, OR 97202-7516 | 2005-08-03 |
| 1326199738 | Frances Ventura Verzosa | Family Medicine | 10535 Ne Glisan St, Ste.100, Portland, OR 97220-4077 | 2007-01-13 |
| 1770679458 | Suzanne C. Cooper | Family Medicine | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2006-10-04 |
| 1275633646 | Maurice C Hothem | Family Medicine | 222 Auburn St, Suite 101, Portland, ME 04103-6004 | 2006-09-25 |
| 1497765499 | Carolyn Nobuko Chapman | Family Medicine | 10200 Sw Eastridge St, Suite 205, Portland, OR 97225-5064 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839217 | Transitional Life Care Clinic, Inc. | Family Medicine | 15604 Sw Rock of Ages Rd, Mcminnville, OR 97128-8531 | 2017-09-07 |
| 1588088785 | Robert Michael Hakala | Family Medicine | 2300 Neff Road, Volunteers In Medicine Clinic, Bend, OR 97701 | 2014-02-07 |
| 1538495734 | Ole Hansen | Family Medicine | 2605 State St, Salem, OR 97310-1346 | 2009-10-22 |
| 1043453582 | Paul E Vanbredavriesman | Family Medicine | 18000 Se Stark Street, Gresham, OR 97233 | 2009-04-14 |
| 1154548881 | Leta Teresa Callahan | Family Medicine | 230 Rowe Road, Wheeler, OR 97147 | 2007-04-20 |
| 1952527871 | Ben Harold Douglas II | Family Medicine | 1100 3rd St, Tillamook, OR 97141-3402 | 2007-04-18 |
| 1629109335 | Melissa Noble | Family Medicine | 628 N Main Street, Ashland, OR 97520-1710 | 2007-03-07 |
| 1730275488 | Richard Hansen | Family Medicine | 300 N Mill St Ste A, Creswell, OR 97426-9848 | 2006-10-04 |
| 1376584011 | Leonard Dewitt Savage | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-06-10 |
| 1346202082 | David Snook | Family Medicine | 367 Normal Ave, Ashland, OR 97520-1329 | 2006-04-06 |
| 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.