PORTLAND ADVENTIST MEDICAL CENTER (NPI# 1619517588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619517588 |
| Entity Type | Organization |
| Organization Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Practice Address |
1700 Sw 257th Ave Troutdale OR 97060-1900 |
| Mailing Address |
Po Box 92900 Portland OR 97292-0900 |
| Practice Telephone | 5036696800 |
| Practice Fax Number | 5034921352 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | JOYCE NEWMYER (CEO) |
| Authorized Official Telephone | 5032516150 |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Adventist Health Portland - Gresham Troutdale FM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194147074 | Portland Adventist Medical Center | Internal Medicine | 10201 Se Main St Ste 12, Portland, OR 97216-2937 | 2014-01-13 |
| 1861475642 | Portland Adventist Medical Center | Home Health | 1015 3rd St, Tillamook, OR 97141-8292 | 2005-11-25 |
| 1396727848 | Portland Adventist Medical Center | Home Health | 5835 Ne 122nd Ave, Building A; Suite #155, Portland, OR 97230-1057 | 2005-11-18 |
| 1801887658 | Portland Adventist Medical Center | General Acute Care Hospital | 10123 Se Market St, Portland, OR 97216 | 2005-11-01 |
| 1538709498 | Portland Adventist Medical Center | Internal Medicine | 1350 Ne 122nd Ave, Portland, OR 97230-2011 | 2020-01-08 |
| 1558901413 | Portland Adventist Medical Center | Family Medicine | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 | 2020-01-08 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1972078590 | Portland Adventist Medical Center | Internal Medicine | 831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 | 2018-10-10 |
| 1881169407 | Portland Adventist Medical Center | Family Medicine | 17055 Ruben Ln, Sandy, OR 97055-9276 | 2018-10-10 |
| 1346715950 | Portland Adventist Medical Center | Internal Medicine | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2018-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTLAND ADVENTIST MEDICAL CENTER | 10123 Se Market St, Portland, OR 97216-2532 |
| Oregon Corporations, Companies and Business Names | PORTLAND ADVENTIST MEDICAL CENTER | 10123 Se Market St, Portland, OR 97216 |
| Street Address |
1700 SW 257TH AVE |
| City | TROUTDALE |
| State | OR |
| Zip Code | 97060-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837378 | Gregory M Knopf | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-01-30 |
| 1861961609 | Ashlyn G Howie | Nurse Practitioner | 1700 Sw 257th Ave, Troutdale, OR 97060 | 2018-11-23 |
| 1801337746 | Nikkiel Lefebre | Nurse Practitioner | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2017-03-11 |
| 1225184674 | Gresham Troutdale Family Medical Center PC | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2007-01-26 |
| 1053358705 | Karen Marto | Nurse Practitioner | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-06-01 |
| 1609824051 | Anne M Sutherland | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-05 |
| 1043268196 | Emily C Bier | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-04 |
| 1073561759 | John Thomas Hoggard | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861921124 | Kayla Michelle Stewart | Doula | 424 Se 19th St, Troutdale, OR 97060 | 2017-06-08 |
| 1467856955 | Meghan Ellen Revoir Bennett | Naturopath | 330 Se 3rd Street, Troutdale, OR 97060 | 2014-10-13 |
| 1699012310 | Scott C Williams | Pharmacist | 22855 N.e. Parklane, Wood Village, OR 97060 | 2013-01-15 |
| 1285888636 | Dan E. Cox | Counselor | 107 E. Historic Columbia River Hwy, Suite 207, Troutdale, OR 97060 | 2008-11-12 |
| 1356592596 | Emily J White | Pulmonary Function Technologist | 735 Sw 14th St, Troutdale, OR 97060 | 2008-10-07 |
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1104072057 | Sharon Brennan | Nurse Practitioner | 2800 Sw 257th Avenue, Columbia View Family Health Center, Troutdale, OR 97060 | 2008-08-12 |
| 1902094386 | Steven Gary Cranford | Chiropractor | 1530 Sw 257th Dr., Troutdale, OR 97060 | 2007-10-10 |
| 1750581062 | Gresham-troutdale Family Medical Center | Non-Pharmacy Dispensing Site | 1700 Sw 27th Ave, Troutdale, OR 97060 | 2007-07-24 |
| 1710181755 | Valerie Kay Robertson | Specialist | 3703 Se 39th, Portland, OR 97060 | 2007-06-13 |
| Find all providers in zip 97060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033464060 | Grayson Highlands Clinic Corp | Family Medicine | 6436 Troutdale Hwy, Troutdale, VA 24378-2023 | 2012-07-16 |
| 1285741769 | Columbia View Family Health Center PC | Family Medicine | 2800 Sw 257th Ave., Troutdale, OR 97060-1803 | 2006-08-23 |
| 1023032919 | Jennifer Marie Byrne | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-07-26 |
| 1508837378 | Gregory M Knopf | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-01-30 |
| 1225184674 | Gresham Troutdale Family Medical Center PC | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2007-01-26 |
| 1174637607 | James Bruce Eubanks Sr. | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-19 |
| 1366556516 | Harpreet Kaur Dhillon | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-17 |
| 1518070333 | Matthew James Daskalos | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-16 |
| 1609824051 | Anne M Sutherland | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-05 |
| 1043268196 | Emily C Bier | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-04 |
| Find all providers in TROUTDALE | ||||
Please comment or provide details below to improve the information on PORTLAND ADVENTIST MEDICAL CENTER.
| 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.