ALEXANDER ROBERT BURT (NPI# 1639272024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639272024 |
| Entity Type | Individual |
| Full Name | ALEXANDER ROBERT BURT |
| Credential | MD |
| Practice Address |
1121 Ne 2nd Oregon State Hospital Portland OR 97232 |
| Mailing Address |
Po Box 14900 Oregon State Hospital Salem OR 97309-5016 |
| Practice Telephone | 5037318620 |
| Mailing Telephone | 5039459840 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD15594 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1121 NE 2ND OREGON STATE HOSPITAL |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285725689 | Martin Terrance Lally | Psychologist | 1121 Ne 2nd, Oregon State Hospital, Portland, OR 97232 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| 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 |
|---|---|---|---|---|
| 1285891085 | Tyler Jones | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # Uhn80, Department of Psychiatry, Portland, OR 97239-3011 | 2008-05-20 |
| 1831307768 | Stephanie M Lopez | Psychiatry & Neurology | Uhn 80 3181 Sw Sam Jackson Park Road, Portland, OR 97239-3098 | 2007-05-21 |
| 1558359687 | John Oakley Beahrs | Psychiatry & Neurology | 3006 Ne Bryce St, Portland, OR 97212-1718 | 2005-10-12 |
| 1881778173 | Esther Maria Gwinnell | Psychiatry & Neurology | 319 Sw Washington St, Suite 1015, Portland, OR 97204-2635 | 2006-10-24 |
| 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 |
| 1194900084 | Heather Lynn Knott | Psychiatry & Neurology | 12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902 | 2008-01-09 |
| 1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
| 1841397411 | Beth Ann Howell | Psychiatry & Neurology | 3 Monroe Pkwy, Suite P-427, Lake Oswego, OR 97035-1486 | 2006-09-17 |
| 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 |
| 1487659298 | Sam Michael Sasser | Psychiatry & Neurology | 1762 E Mcandrews Rd, Ste D, Medford, OR 97504-5577 | 2005-06-17 |
| 1528371101 | Tushar J Makadia | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301-2669 | 2010-07-23 |
| 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 |
| 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.