DR. MICHAEL RYAN SHRIFTER (NPI# 1750656161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750656161 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RYAN SHRIFTER |
| Credential | PSY.D. |
| Practice Address |
6640 Sw Redwood Ln Portland OR 97224-7187 |
| Practice Telephone | (503) 620-7358 |
| Practice Fax Number | 5036246144 |
| Mailing Telephone | (503) 620-7358 |
| Mailing Fax Number | 5036246144 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2350 | OR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY60246979 | WA | Behavioral Health & Social Service Providers |
| Street Address |
6640 SW REDWOOD LN |
| City | PORTLAND |
| State | OR |
| Zip Code | 97224-7187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311688 | Suvarna Reddy Palla | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2006-05-11 |
| 1154713188 | Stacy Marie Rudy | Physician Assistant | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2015-02-27 |
| 1538582903 | Haley Gail Trontel | Psychologist | 6640 Sw Redwood Ln, Portland, OR 97224 | 2014-01-21 |
| 1023380979 | Miles Percy Holland | Nurse Practitioner | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2012-02-07 |
| 1780848499 | Ann Marie Paulsen | Internal Medicine | 6640 Sw Redwood Ln, Portland, Portland, OR 97224-7187 | 2008-07-11 |
| 1831362482 | Arete Nw LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-04-03 |
| 1740459478 | Arete Nw, LLC | Specialist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2008-02-27 |
| 1366642746 | Brooke M Madden | Psychiatry & Neurology | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-07-23 |
| 1699977405 | Sheilla Treacy Ellsworth | Physical Therapist | 6640 Sw Redwood Ln, Suite 300, Portland, OR 97224-7187 | 2007-06-04 |
| 1972705986 | Arin Short | Physical Therapist | 6640 Sw Redwood Ln, Portland, OR 97224-7187 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| 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.