EAST PORTLAND NEUROLOGY (NPI# 1821439555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821439555 |
| Entity Type | Organization |
| Organization Name | EAST PORTLAND NEUROLOGY |
| Practice Address |
417 Se 164th Ave Ste 300 Vancouver WA 98684-8944 |
| Mailing Address |
10101 Se Main St Suite 1006 Portland OR 97216 |
| Practice Telephone | 5032563034 |
| Practice Fax Number | 5032563055 |
| Mailing Telephone | 5032563034 |
| Mailing Fax Number | 5032563055 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | VITALIE D LUPU (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5032563034 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EAST PORTLAND NEUROLOGY CLINIC, P.C. | 10101 Se Main St Ste 1006, Portland, OR 97216 |
| Street Address |
417 SE 164TH AVE STE 300 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316909310 | Gregory Brian Scott | Family Medicine | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2006-04-05 |
| 1821657248 | Olga N Goldinov | Registered Nurse | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2019-06-10 |
| 1386089308 | Gastroenterology Associates, P.C. | Specialist | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2013-05-03 |
| 1669665345 | Diana Kay Almy | Nurse Practitioner | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2007-08-24 |
| 1871668442 | Robert Paul Lindberg | Social Worker | 417 Se 164th Ave Ste 300, Vancouver, WA 98684-8944 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1174898381 | Joseph David Nickolas Freeburg | Psychiatry & Neurology | 2211 Ne 139th St Ste 3e120, Vancouver, WA 98686-2742 | 2012-03-21 |
| 1215218102 | Timberline Rehabilitation Services, Ps | Psychiatry & Neurology | 920 Ne 112th Avenue, Suite 103, Vancouver, WA 98684-5104 | 2011-09-06 |
| 1003921784 | Marketa Van Den Elzen | Psychiatry & Neurology | 2102-1199 Mainaside Cres., Vancouver, BC V6Z2Y2 | 2006-08-20 |
| 1437191996 | Victor M Erlich | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2006-06-11 |
| 1528026051 | Michael John Nelson | Psychiatry & Neurology | 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 | 2006-05-03 |
| 1316935752 | Cathleen J Miller | Psychiatry & Neurology | 2211 E Mill Plain Blvd, Kaiser Permanente Vancouver Medical Office, Vancouver, WA 98661-4329 | 2005-10-10 |
| 1063894541 | Kwo Wei David Ho | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2015-06-22 |
| 1225423064 | Shereen Lee Seyal | Psychiatry & Neurology | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-03-30 |
| 1336543560 | Providence Health & Services - Oregon | Psychiatry & Neurology | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 | 2014-10-17 |
| Find all providers in VANCOUVER | ||||
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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.