EMILY KOSDERKA (NPI# 1912479072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912479072 |
Entity Type | Individual |
Full Name | EMILY KOSDERKA |
Credential | ATC |
Practice Address |
2811 Ne Holman St Portland OR 97211-6067 |
Mailing Address |
28825 Sw Grahams Ferry Rd Wilsonville OR 97070-9516 |
Practice Telephone | 5032808525 |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | NATA | 0975249 | 01 |
Street Address |
2811 NE HOLMAN ST |
City | PORTLAND |
State | OR |
Zip Code | 97211-6067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145447 | Elizabeth Corbett-furgal | Physical Medicine & Rehabilitation | 2811 Ne Holman St, Portland, OR 97211-6067 | 2020-02-04 |
1265867659 | Lillian Alexander | Psychologist | 2811 Ne Holman St, Portland, OR 97211-6067 | 2013-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
Find all providers in zip 97211 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639782550 | Madeleine Vivian Reid | Specialist/Technologist | 204 Maine Ave, Portland, ME 04103-3906 | 2020-08-29 |
1154933158 | Jennifer Owens | Specialist/Technologist | 2 Jobs Gate 1, Portland, CT 06480-1750 | 2020-08-20 |
1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
1386284453 | Richard J Campbell | Specialist/Technologist | 300 N Winning Way, Portland, OR 97227-2108 | 2020-01-07 |
1417597584 | Sarah Ashley Mcsweeney | Specialist/Technologist | 2105 Nw Flanders St Apt 4, Portland, OR 97210-3450 | 2020-01-07 |
1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
1366096448 | Madeleine Knutson | Specialist/Technologist | 12617 Nw Avignon Ln, Portland, OR 97229-9405 | 2019-07-28 |
1720648215 | Nicholas Ryan Thomas | Specialist/Technologist | 4800 Ne 122nd Ave, Portland, OR 97230-1001 | 2019-06-17 |
Find all providers in PORTLAND |
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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.