DR. ANTHONY PHAM (NPI# 1790913994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790913994 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY PHAM |
| Credential | M.D. |
| Practice Address |
19260 Sw 65th Ave Ste 435 Tualatin OR 97062-5713 |
| Mailing Address |
1498 Se Tech Center Pl Ste 240 Vancouver WA 98683-5508 |
| Practice Telephone | 3605971309 |
| Mailing Telephone | (360) 597-1309 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LP01695 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD176450 | OR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
57041 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
| 1104126424 | Anthony Pham | Pharmacist | 13831 Ward St, Garden Grove, CA 92843-3341 | 2010-11-03 |
| 1245466978 | Anthony D Pham | Dentist | 815 Ashley Place, Mesquite, TX 75181 | 2009-06-09 |
| 1225231566 | Anthony Nhut Pham | Chiropractor | 3851 River Rd N, Keizer, OR 97303-4803 | 2007-06-06 |
| 1215138714 | Anthony Tam Pham | Physical Medicine & Rehabilitation | 20303 Kermier Rd, Waller, TX 77484-8743 | 2007-05-30 |
| 1396395406 | Anthony Pham | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2019-09-19 |
| 1659874436 | Anthony Pham | Dentist | 4360-c E Main St, Ventura, CA 93003-2331 | 2018-03-17 |
| 1477074441 | Anthony Le Pham | Dentist | 600 N Highway 190 Ste 4, Covington, LA 70433-5083 | 2017-06-29 |
| 1881140978 | Anthony Nguyen Pham | Internal Medicine | 200 Hawkins Dr, Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2016-08-29 |
| 1508240466 | Anthony Pham | Pharmacist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2015-07-09 |
| Street Address |
19260 SW 65TH AVE STE 435 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104074855 | Breeana K Roche | Physician Assistant | 19260 Sw 65th Ave Ste 435, Tualatin, OR 97062 | 2008-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546309 | Edward Hsia0-kua Chang | Internal Medicine | 19260 Sw 65th Ave, Ste 435, Tualatin, OR 97062-5701 | 2005-05-23 |
| 1356667893 | Richard A Zinke | Internal Medicine | 19260 Sw 65th Ave, Suite 435, Tualatin, OR 97062-5701 | 2010-04-08 |
| 1467664839 | Ian Denison Schnadig | Internal Medicine | 19260 Sw 65th Ave, Suite 435, Tualatin, OR 97062-5701 | 2007-05-05 |
| 1487873097 | Charles Herbert Doolittle IIi | Internal Medicine | 6464 Sw Borland Rd, Suite C-5, Tualatin, OR 97062-8876 | 2007-04-24 |
| 1508830670 | Christopher Andrew Yasenchak | Internal Medicine | 19260 Sw 65th Ave, Suite 435, Tualatin, OR 97062-5701 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.