MTN. VIEW FAMILY PRACTICE, PC (NPI# 1861520991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861520991 |
| Entity Type | Organization |
| Organization Name | MTN. VIEW FAMILY PRACTICE, PC |
| Practice Address |
24900 Se Stark St Suite 205 Gresham OR 97030-3355 |
| Practice Telephone | 5036651010 |
| Practice Fax Number | 5036651023 |
| Mailing Telephone | 5036651010 |
| Mailing Fax Number | 5036651023 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | PAUL V PODETT (PRESIDENT) |
| Authorized Official Telephone | 5036651010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD18120 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MD LIC | MD18120 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MTN. VIEW FAMILY PRACTICE, PC | 24900 Se Stark St #205, Gresham, OR 97030 |
| Street Address |
24900 SE STARK ST SUITE 205 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222512 | Manohar Mulki Punja | Internal Medicine | 24900 Se Stark St, Suite 103, Gresham, OR 97030-3355 | 2005-08-22 |
| 1023416906 | Michael Barth | Physician Assistant | 24900 Se Stark St, #205, Gresham, OR 97030-3355 | 2014-12-09 |
| 1942552062 | Richard S Polin PC | Neurological Surgery | 24900 Se Stark St, Suite 208, Gresham, OR 97030-3355 | 2012-10-12 |
| 1710110127 | Robert L Kalez Md PC | Urology | 24900 Se Stark St, 208, Gresham, OR 97030-3355 | 2009-09-02 |
| 1235278482 | Brooke Bjornberg Lowry | Counselor | 24900 Se Stark St, Gresham, OR 97030-3355 | 2007-02-05 |
| 1861553232 | Karen Mees | Occupational Therapist | 24900 Se Stark St, Suite 106, Gresham, OR 97030-3355 | 2006-12-12 |
| 1205997681 | Craig Plummer | Physical Therapist | 24900 Se Stark St, Suite 106, Gresham, OR 97030-3355 | 2006-12-12 |
| 1912916990 | Patrick Joseph Mcgowan | Internal Medicine | 24900 Se Stark St, Ste 202, Gresham, OR 97030 | 2006-08-07 |
| 1104844661 | Richard Wayne Craft Sr. | Internal Medicine | 24900 Se Stark St, Ste 202, Gresham, OR 97030 | 2006-07-17 |
| 1235169566 | Kirk L Weller | Psychiatry & Neurology | 24900 Se Stark St, Suite 211, Gresham, OR 97030-3355 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508229303 | Tammy Lin | Family Medicine | 3321 Sw 2nd St, Gresham, OR 97030-6318 | 2016-03-30 |
| 1770928558 | Alexis B De Lucca | Family Medicine | 2020 Se 182nd Avenue, Gresham, OR 97030 | 2013-05-07 |
| 1184783094 | Paul Podett | Family Medicine | 24900 Se Stark St Ste 205, Gresham, OR 97030-3382 | 2006-12-06 |
| 1942377361 | Ernest A Talley | Family Medicine | 501 Ne Hood Ave Ste 340, Gresham, OR 97030-7346 | 2006-11-29 |
| 1982664637 | Yale Liang | Family Medicine | 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 | 2006-03-26 |
| 1851387849 | Toni Loraine Hero | Family Medicine | 400 Ne Roberts Ave, Gresham, OR 97030-7464 | 2005-09-23 |
| 1144795022 | Portland Adventist Medical Center | Family Medicine | 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 | 2018-10-08 |
| 1164840815 | Caroline Chase Adams | Family Medicine | 440 Nw Division St, Gresham, OR 97030-5506 | 2014-03-31 |
| 1780002626 | May-lynn Chu | Family Medicine | 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 | 2014-03-28 |
| 1821354366 | Lindsay Braun | Family Medicine | 600 Ne 8th St, Gresham, OR 97030-7317 | 2012-04-10 |
| Find all providers in GRESHAM | ||||
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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.