DR. EPHRAIM SHIN-TIAN TANG (NPI# 1679027874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679027874 |
| Entity Type | Individual |
| Full Name | DR. EPHRAIM SHIN-TIAN TANG |
| Credential | MD |
| Practice Address |
4805 Ne Glisan St Ste 6n60 Portland OR 97213-2933 |
| Practice Telephone | 5032810561 |
| Mailing Telephone | 5032810561 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | MD184038 | OR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD184038 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
4805 NE GLISAN ST STE 6N60 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871742478 | Michele Lynn Babicky | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213 | 2008-09-18 |
| 1659798932 | Rodrigo Pedraza Rosales | Colon & Rectal Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2014-03-24 |
| 1023443546 | Pamela Dawn Voltz | Physician Assistant | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-09-04 |
| 1437597556 | Lauren Elizabeth Orr | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-06-11 |
| 1245587823 | Daniel Davila Bradley | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2012-08-14 |
| 1760776041 | Maria Ximena Traa Kiely | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213 | 2011-06-05 |
| 1225353824 | Jon M Gerry | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811042179 | John Rabkin | Transplant Surgery | 2231 Sw Montgomery Dr, Portland, OR 97201-2386 | 2007-01-24 |
| 1144517897 | Benjamin J Johnston | Transplant Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-07-01 |
| 1629369756 | Christopher Robert Connelly | Transplant Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-04-24 |
| 1962612283 | Charles Kristian Enestvedt | Transplant Surgery | 3181 Sw Sam Jackson Park Rd, Department of Surgical Oncology, L619, Portland, OR 97239-3011 | 2007-05-23 |
| 1609882281 | John Maynard Barry | Transplant Surgery | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2006-08-01 |
| 1750397246 | David L. Scott | Transplant Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
| 1780608216 | Legacy Good Samaritan Hospital and Medical Center | Transplant Surgery | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-27 |
| 1528072675 | Juan M Palma-vargas | Transplant Surgery | 887 Congress St, Suite 400, Portland, ME 04102-3100 | 2006-07-27 |
| 1922039973 | Kayvan Roayaie | Transplant Surgery | 3181 Sw Sam Jackson Park Rd, L590, Portland, OR 97239-3011 | 2006-07-06 |
| 1205812070 | James F Whiting | Transplant Surgery | 887 Congress St, Suite 400, Portland, ME 04102-3100 | 2005-12-22 |
| Find all providers in PORTLAND | ||||
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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.