NORTHWEST GERIACTRICS


Address: 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751
Phone: 1435862614

NORTHWEST GERIACTRICS (NPI# 1639793367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639793367
Entity Type Organization
Organization Name NORTHWEST GERIACTRICS
Practice Address 10365 Se Sunnyside Rd Ste 340
Clackamas
OR 97015-5751
Mailing Address 206 N 2100 W Ste 202
Salt Lake City
UT 84116-4741
Practice Telephone 1435862614
Mailing Telephone 4358626143
Enumeration Date 2020-05-28
Last Update Date 2020-05-28
Authorized Official Name MARK L PHILLIPS (PRESIDENT)
Authorized Official Telephone 4358626143
Authorized Official Credential MBA/MHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 207QH0002X Family Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 10365 SE SUNNYSIDE RD STE 340
City CLACKAMAS
State OR
Zip Code 97015-5751

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
Find all providers in zip 97015

Taxonomy Information

Taxonomy Code 207QH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174147268 Hpa Medical Management, LLC Family Medicine 11481 Sw Hall Boulevard, Suite 200, Tigard, OR 97223-9722 2020-06-03
1548774375 Seasons Medical Group of Oregon PC Family Medicine 6500 Sw Macadam Ave Ste 160, Portland, OR 97239-3566 2017-12-01
1447600796 Cascade Hospice & Palliative Care Consulting, Inc Family Medicine 4355 W Ridge Dr, Hood River, OR 97031-7734 2016-06-17
1700280674 Albany General Hospital Family Medicine 4600 Evergreen Place Se, Suite 200, Albany, OR 97322-6182 2014-10-21
1336567585 Partners In Care, Inc Family Medicine 2075 Ne Wyatt Ct, Bend, OR 97701-7686 2014-04-04
1700182425 Cascade Hospice & Palliative Care Consulting, Inc Family Medicine 4355 W Ridge Dr, Hood River, OR 97031-7734 2011-01-27
1629204466 Hospice of The Gorge, Inc. Family Medicine 1630 Woods Ct, Hood River, OR 97031-2911 2009-06-08
1972699791 James Henry Horak Family Medicine 2275 Ne Doctors Dr, Suite 3, Bend, OR 97701-6324 2006-10-05
1356314520 Thomas R Patterson Family Medicine 677 E 12th Ave, Eugene, OR 97401-3600 2006-02-08

Competitor

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City CLACKAMAS
Zip Code 97015

Improve Information

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Dataset Information

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.

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