DR. JEAN MARIE WYLES (NPI# 1891807178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807178 |
| Entity Type | Individual |
| Full Name | DR. JEAN MARIE WYLES |
| Credential | M.D. |
| Practice Address |
9900 Se Sunnyside Rd Sunnybrook Medical Office Clackamas OR 97015 |
| Practice Telephone | 5035715887 |
| Mailing Telephone | 5035715887 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | OR MD17834 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
9900 SE SUNNYSIDE RD SUNNYBROOK MEDICAL OFFICE |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982675690 | Tony S Clinton | Dermatology | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 | 2006-01-30 |
| 1700395811 | Jeffrey Ha Nguyen | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2017-09-21 |
| 1255850434 | Taylor Martin | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2017-09-19 |
| 1386189595 | Darin Ferry | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-12-23 |
| 1720530058 | Kaiser Foundation Health Plan of The Northwest | General Practice | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-11-03 |
| 1912458944 | Kimberly Brownell | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-10-14 |
| 1487104956 | Sze Wing Ngan | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-10-10 |
| 1740738327 | Frederick R Engelmann | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-09-13 |
| 1215483680 | Clifford Stephens | Pharmacist | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2016-08-26 |
| 1235594896 | Celeste Richardson | Physician Assistant | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015-9777 | 2015-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205843406 | Tami Lynette Smick | Physical Medicine & Rehabilitation | 9220 Se Tolbert St, Clackamas, OR 97015-9634 | 2006-08-01 |
| 1407958507 | Maribel Del Carmen Bieberach | Physical Medicine & Rehabilitation | 9900 Se Sunnyside Road, Sunnybrook Medical Office, Physiatry Dept., Clackamas, OR 97015-9750 | 2006-09-01 |
| 1902915069 | Andrea Ingrid Karl | Physical Medicine & Rehabilitation | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-08-30 |
| 1295844827 | Paul O. Jacobs | Physical Medicine & Rehabilitation | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-08-29 |
| 1467568386 | Christina Yun Lee | Physical Medicine & Rehabilitation | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987836 | Gurleen K Grewal | Physical Medicine & Rehabilitation | 402 Nw 12th Ave, Portland, OR 97209-2907 | 2020-03-18 |
| 1992353668 | Bodyworks Physical Therapy Orthopedic and Sports Rehab | Physical Medicine & Rehabilitation | 3051 South 6th Street, Klamath Falls, OR 97603-4609 | 2019-08-27 |
| 1497300164 | Eric Drake | Physical Medicine & Rehabilitation | 210 W Ellendale Ave Ste 100, Dallas, OR 97338-1790 | 2019-08-08 |
| 1558842054 | Ryan Thomas Willoughby | Physical Medicine & Rehabilitation | 15640 Nw Laidlaw Rd Ste 202, Portland, OR 97229-3828 | 2018-08-23 |
| 1659874238 | Karrie Silva, Lmt | Physical Medicine & Rehabilitation | 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 | 2018-03-09 |
| 1023518784 | Ashli Ann Hatfield | Physical Medicine & Rehabilitation | 470 Ne Stephens St Ste 102, Roseburg, OR 97470-3158 | 2018-02-19 |
| 1477921021 | Kara Rich | Physical Medicine & Rehabilitation | 1706 Ne 114th Ave, Portland, OR 97220 | 2015-09-11 |
| 1396141925 | Brett Edward Hammers | Physical Medicine & Rehabilitation | 58147 Columbia River Hwy Ste A, Saint Helens, OR 97051-6229 | 2014-11-10 |
| 1881022358 | Bauer Medical Group | Physical Medicine & Rehabilitation | 6564 Se Lake Rd, Suite 101, Milwaukie, OR 97222-2237 | 2013-10-21 |
| 1710321476 | Kerry G. Kuschnick | Physical Medicine & Rehabilitation | 2560 S 5th St, Lebanon, OR 97355-2456 | 2013-04-24 |
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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.