PROVIDENCE MILWAUKIE HOSPITAL (NPI# 1689795478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689795478 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MILWAUKIE HOSPITAL |
| Other Organization Name | PROVIDENCE HOSPITALISTS SOUTHEAST |
| Practice Address |
10150 Se 32nd Ave Milwaukie OR 97222-6516 |
| Mailing Address |
Po Box 3349 Portland OR 97208-3349 |
| Practice Telephone | 5035138336 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | ERIC OLSON (CHIEF FINANCE OFFICER) |
| Authorized Official Telephone | 5035138308 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE MILWAUKIE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 023300 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE HOSPITALISTS SOUTHEAST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215168711 | Providence Milwaukie Hospital | General Acute Care Hospital | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2009-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROVIDENCE MILWAUKIE HOSPITAL | 10150 Se 32nd Ave, Milwaukie, OR 97222 |
| Street Address |
10150 SE 32ND AVE |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485737 | Stephani Sue Jirikovic | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-10-21 |
| 1801423876 | Judy Marie Schumacker | Social Worker | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2020-03-26 |
| 1457908840 | Dana Thuy Nguyen | Pharmacist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2019-08-21 |
| 1689152860 | Kevin Morikawa | Physical Therapist | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2018-07-31 |
| 1578014239 | Providence Health & Services Oregon | Anesthesiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-10-18 |
| 1356793152 | Brian Schapansky | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2016-07-06 |
| 1659751360 | Providence Health & Services Oregon | Psychiatric Unit | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-06-08 |
| 1851783138 | Holly Turner | Dietitian, Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2015-02-24 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1831501394 | Julia Watts Schafer | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888212 | Body Works Wellness Center LLC | Clinic/Center | 2100 Se Lake Rd Ste 2d, Milwaukie, OR 97222-7759 | 2018-01-04 |
| 1891981999 | Milwaukie Chiropractic & Massage Clinic, PC | Clinic/Center | 5111 Se Lake Rd, Milwaukie, OR 97222-4767 | 2007-09-21 |
| 1780191924 | Kirsten Isakson, Lac | Clinic/Center | 7831 Se Lake Rd Ste 102, Milwaukie, OR 97267-2193 | 2018-01-09 |
| 1942749346 | Fornaturalhealing LLC | Clinic/Center | 11630 Se 40th Ave Ste C, Milwaukie, OR 97222-6195 | 2017-02-17 |
| 1548639719 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 14411 Se Mcloughlin Blvd, Milwaukie, OR 97267-1412 | 2015-09-17 |
| 1053727636 | Providence Health & Services - Oregon | Clinic/Center | 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222-6548 | 2014-07-03 |
| 1356693873 | Milwaukie Urgent Care | Clinic/Center | 2403 Se Monroe St, Suite A, Milwaukie, OR 97222-7646 | 2012-10-08 |
| 1982997128 | Providence Health & Services - Oregon | Clinic/Center | 10330 Se 32nd Ave, Suite 210, Milwaukie, OR 97222-6594 | 2011-05-20 |
| 1316236847 | Whole Life Vitality | Clinic/Center | 2305 Se Washington St, Suite 104, Milwaukie, OR 97222-7647 | 2011-04-05 |
| 1578795936 | Hands On Chiropractic LLC | Clinic/Center | 13033 Se Rusk Rd, Milwaukie, OR 97222-2107 | 2009-08-19 |
| Find all providers in MILWAUKIE | ||||
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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.