NORTHWEST GERIACTRICS (NPI# 1639793367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Street Address |
10365 SE SUNNYSIDE RD STE 340 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5751 |
| 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 Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| 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] |
| 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 |
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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.