UNIVERSITY OF WESTERN STATES (NPI# 1720313968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720313968 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF WESTERN STATES |
| Other Organization Name | GRESHAM INTEGRATED CARE |
| Practice Address |
1304 Nw Civic Drive Gresham OR 97030 |
| Mailing Address |
2900 Ne 132nd Ave Portland OR 97230-3014 |
| Practice Telephone | 5035121040 |
| Practice Fax Number | 5034890941 |
| Mailing Telephone | 5032556771 |
| Mailing Fax Number | 5032515794 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | ALICE ZIEGLER (OFFICE MANAGER) |
| Authorized Official Telephone | 5032515758 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF WESTERN STATES |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gresham Integrated Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336533215 | University of Western States | Chiropractor | 4000 Lancaster Drive Ne, Building 8 Suite 104, Salem, OR 97309 | 2015-03-27 |
| 1922333160 | University of Western States | Clinic/Center | 12141 Ne Halsey St., Portland, OR 97230-3014 | 2009-10-06 |
| 1841525698 | University of Western States | Clinic/Center | 315 Sw 4th Ave, Portland, OR 97204 | 2009-10-13 |
| 1053457325 | University of Western States | Chiropractor | 2900 Ne 132nd Ave, Portland, OR 97230-3014 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | UNIVERSITY OF WESTERN STATES | 2900 Ne 132nd Avenue, Portland, OR 97230 |
| Oregon Corporations, Companies and Business Names | UNIVERSITY OF WESTERN STATES | 8000 Ne Tillamook Street, Portland, OR 97213 |
| Oregon Corporations, Companies and Business Names | UNIVERSITY OF WESTERN STATES HEALTH CARE INCORPORATED | 8000 Ne Tillamook Street, Portland, OR 97213 |
| Connecticut Business Registrations | UNIVERSITY OF WESTERN STATES INC. | 2900 Ne 132nd Ave., Portland, OR 97230 |
| Street Address |
1304 NW CIVIC DRIVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1861989022 | Ideal Option, Pllc | Clinic/Center | 1140 Ne Burnside Rd, Gresham, OR 97030-5711 | 2018-04-13 |
| 1326211673 | My Family Chiropractor, LLC | Clinic/Center | 655 Nw Burnside Rd Ste 5, Gresham, OR 97030-3745 | 2008-04-08 |
| 1902440738 | Tina Gadzala Lmt | Clinic/Center | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-05 |
| 1215440557 | Mobile Vaccs LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-11-08 |
| 1982139051 | Healthez2u LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-04-26 |
| 1831641505 | Whitaker Wellness LLC | Clinic/Center | 4253 Se 182nd Ave, Gresham, OR 97030-5083 | 2016-10-28 |
| 1386919132 | Legacy Mount Hood Medical Center | Clinic/Center | 24800 Se Stark St, Gresham, OR 97030-3378 | 2012-03-13 |
| 1437442795 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2011-05-19 |
| 1972776243 | Balance Chinese Medical Clinic, LLC | Clinic/Center | 655 Nw Burnside Rd, Ste 5, Gresham, OR 97030-3745 | 2008-04-08 |
| 1053419218 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2006-09-20 |
| Find all providers in GRESHAM | ||||
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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.