COLUMBIA NEUROSURGICAL ASSOCIATES, LLC (NPI# 1790014173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790014173 |
| Entity Type | Organization |
| Organization Name | COLUMBIA NEUROSURGICAL ASSOCIATES, LLC |
| Practice Address |
1040 Nw 22nd Ave 630 Portland OR 97210-3057 |
| Practice Telephone | 5037962743 |
| Mailing Telephone | 5037962743 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | DAVID E ADLER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5037962743 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1040 NW 22ND AVE 630 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717852 | Raylene Dianne Coleman | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3057 | 2005-08-11 |
| 1386204980 | Dorian Ariel Zeidenweber | Student in an Organized Health Care Education/Training Program | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2019-06-17 |
| 1982194429 | Katherine Crawford | Dietitian, Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2018-05-10 |
| 1720537111 | Legacy Health | General Acute Care Hospital | 1040 Nw 22nd Ave, Suite 110, Portland, OR 97210-3057 | 2016-09-26 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1497120380 | Martha Rissmiller | Physical Therapist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2015-12-03 |
| 1427436971 | Claire Hanway | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3026 | 2015-05-15 |
| 1629401963 | Pui Yi Boey | Ophthalmology | 1040 Nw 22nd Ave, Suite #200, Portland, OR 97210-3057 | 2013-08-09 |
| 1366783631 | David Larson Demill | Ophthalmology | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2013-03-11 |
| 1639414410 | Dewi Kae De Jarnett | Nurse Anesthetist, Certified Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2012-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764485 | Columbia Neurosurgical Trauma, LLC | Neurological Surgery | 1040 Nw 22nd Ave Ste 630, Portland, OR 97210-3041 | 2017-11-29 |
| 1194178590 | Philippe Magown | Neurological Surgery | 3303 Sw Bond Ave # Ch8n, Department of Neurological Surgery, Ohsu, Portland, OR 97239-4501 | 2016-07-20 |
| 1922475813 | Willliam Leonard Debolt | Neurological Surgery | 7419 Nw Cornell Rd, Portland, OR 97229-6901 | 2015-08-26 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1366860009 | Kathryn Wagner | Neurological Surgery | 3101 Sw 13th Ave Apt 19, Portland, OR 97239-3071 | 2014-03-31 |
| 1699038323 | James Steve Heiden | Neurological Surgery | 2496 Nw 141st Pl, Portland, OR 97229-7078 | 2012-06-18 |
| 1942578026 | Nw Neurosurgery LLC | Neurological Surgery | 311 Nw 12th Ave Unit 1003, Portland, OR 97209-2995 | 2011-12-05 |
| 1306005319 | Hatem Adel Sabry | Neurological Surgery | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2008-06-04 |
| 1639374440 | Frederick T Waller Md PC | Neurological Surgery | 9155 Sw Barnes Rd Ste 211, Portland, OR 97225-6629 | 2007-06-20 |
| 1356550206 | Ahmed M. Raslan | Neurological Surgery | 3181 Sw Sam Jackson Road, Portland, OR 97239 | 2007-05-21 |
| 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.