MICHAEL P DURAN (NPI# 1629251301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629251301 |
| Entity Type | Individual |
| Full Name | MICHAEL P DURAN |
| Credential | MD |
| Practice Address |
2600 Center St Ne Oregon State Hospital Salem Salem OR 97301 |
| Mailing Address |
Po Box 14900 State of Oregon Institutional Revenue Section Salem OR 97309-5016 |
| Practice Telephone | 5039459840 |
| Mailing Telephone | 5039459840 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
19354 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
19354 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
| 1801862396 | Michael Gordon Duran | Anesthesiology | 3820 W Happy Valley Rd # 175, Glendale, AZ 85310-3289 | 2006-02-24 |
| 1710523873 | Michael David Duran | Peer Specialist | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2019-11-25 |
| 1659922425 | Michael Duran | Behavior Technician | 2342 Professional Pkwy Ste 300, Santa Maria, CA 93455-6819 | 2019-09-24 |
| 1659765568 | Michael Duran | Student in an Organized Health Care Education/Training Program | 1320 N 10th St, Suite A, Phoenix, AZ 85006-2710 | 2015-03-28 |
| 1053570689 | Michael Samuel Duran | Counselor | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2008-06-09 |
| 1114050788 | Michael Christopher Duran | Case Manager/Care Coordinator | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2007-03-13 |
| 1649296450 | Michael E. Duran | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-14 |
| 1275568099 | Michael Richard Duran | Physician Assistant | 3610 Peters Ct, High Point, NC 27265-9004 | 2006-07-11 |
| 1700888229 | Michael J Duran | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2005-08-15 |
| Street Address |
2600 CENTER ST NE OREGON STATE HOSPITAL SALEM |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857295 | Charles J Rim | Dentist | 2600 Center St Ne, Salem, OR 97301-2669 | 2005-08-03 |
| 1467059782 | Lucas Arcoverde | Nurse Practitioner | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-10-08 |
| 1548875834 | Mona Keivani | Pharmacist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-09-13 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1033733027 | Doris Okoli | Nurse Practitioner | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-06-04 |
| 1679197370 | Kristopher Kurtis Adams | Psychologist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-05-29 |
| 1275162711 | Tyler St. Clair | Social Worker | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-04-06 |
| 1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
| 1154956548 | Connie Jo Mickelson | Dietitian, Registered | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-06 |
| 1841824588 | Margherita Zaheera Vaulte | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
| 1558430470 | Phil Washburn | Psychiatry & Neurology | 251 W Hwy 198, Salem, UT 84653-0786 | 2006-11-07 |
| 1780788901 | Alexander Earle Horwitz IIi | Psychiatry & Neurology | 265 Commercial St Se, Ste 280, Salem, OR 97301-3461 | 2006-09-08 |
| 1316972524 | Gilberto De Jesus-rentas | Psychiatry & Neurology | 2755 Commercial St Se, #101-315, Salem, OR 97302-4981 | 2006-07-12 |
| 1356634778 | Kavya Singareddy | Psychiatry & Neurology | 81 Highland Ave, Department of Psychiatry, Salem, MA 01970-2714 | 2011-05-18 |
| 1528371101 | Tushar J Makadia | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301-2669 | 2010-07-23 |
| 1679677801 | Scott Mitchell Reichlin | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659614998 | Pia Quimson-guevarra | Psychiatry & Neurology | 1975 Nw 167th Pl Ste 100-200, Beaverton, OR 97006-4908 | 2013-04-04 |
| 1285891085 | Tyler Jones | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # Uhn80, Department of Psychiatry, Portland, OR 97239-3011 | 2008-05-20 |
| 1194900084 | Heather Lynn Knott | Psychiatry & Neurology | 12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902 | 2008-01-09 |
| 1831307768 | Stephanie M Lopez | Psychiatry & Neurology | Uhn 80 3181 Sw Sam Jackson Park Road, Portland, OR 97239-3098 | 2007-05-21 |
| 1841397411 | Beth Ann Howell | Psychiatry & Neurology | 3 Monroe Pkwy, Suite P-427, Lake Oswego, OR 97035-1486 | 2006-09-17 |
| 1639272024 | Alexander Robert Burt | Psychiatry & Neurology | 1121 Ne 2nd, Oregon State Hospital, Portland, OR 97232 | 2006-09-07 |
| 1558359687 | John Oakley Beahrs | Psychiatry & Neurology | 3006 Ne Bryce St, Portland, OR 97212-1718 | 2005-10-12 |
| 1487659298 | Sam Michael Sasser | Psychiatry & Neurology | 1762 E Mcandrews Rd, Ste D, Medford, OR 97504-5577 | 2005-06-17 |
| 1861636334 | Eugene Edward Klecan | Psychiatry & Neurology | 4800 Sw Meadows Rd, Ste 300, Lake Oswego, OR 97035-4264 | 2009-04-28 |
| 1184882623 | Liana Felicia Hategan | Psychiatry & Neurology | 3370 Sw 192nd Ave, Beaverton, OR 97003-2346 | 2008-05-31 |
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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.