OHSU MEDICAL GROUP (NPI# 1831368554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831368554 |
| Entity Type | Organization |
| Organization Name | OHSU MEDICAL GROUP |
| Other Organization Name | OHSU SLEEP DISORDERS PROGRAM AT THE MARRIOTT |
| Practice Address |
2115 Sw River Pkwy Portland OR 97201-8024 |
| Mailing Address |
2241 Lloyd Center Portland OR 97232-1315 |
| Practice Telephone | 5034942592 |
| Practice Fax Number | 5034941076 |
| Mailing Telephone | 5034948417 |
| Mailing Fax Number | 5034944455 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DAVID CRAWFORD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5034949616 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHSU MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OHSU Sleep Disorders Program at the Marriott | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639356991 | Ohsu Medical Group | Neurological Surgery | 1060 Hudson St, Longview, WA 98632-3103 | 2008-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OHSU MEDICAL GROUP | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Street Address |
2115 SW RIVER PKWY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306041777 | Kaanchan Gangal | Psychiatry & Neurology | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891099933 | St. Charles Health System, Inc. | Psychiatry & Neurology | 2042 Ne Williamson Ct, Bend, OR 97701-3760 | 2011-01-04 |
| 1437453776 | St. Charles Health System, Inc. | Psychiatry & Neurology | 655 Nw Jackpine Avenue, Redmond, OR 97756-1334 | 2010-12-30 |
| 1104069319 | Westside Sleep Center, LLC | Psychiatry & Neurology | 7450 Sw Beveland St, Suite 120, Tigard, OR 97223 | 2009-04-17 |
| 1124213251 | Olukayode Olugbemiga, Ayo Ogunrinde | Psychiatry & Neurology | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2007-09-11 |
| 1356548903 | Hillary Elizabeth Rachel Lowenstein | Psychiatry & Neurology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2007-06-28 |
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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.