DR. JESSIE FAN (NPI# 1932179439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932179439 |
| Entity Type | Individual |
| Full Name | DR. JESSIE FAN |
| Credential | MD |
| Practice Address |
120 Nw 14th Ave Suite 300 Portland OR 97209-2643 |
| Mailing Address |
2415 Se Ivon St Portland OR 97202-1287 |
| Practice Telephone | 5032999906 |
| Practice Fax Number | 5032259002 |
| Mailing Telephone | 5039220926 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD27402 | OR | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 227596 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274300 | 05 | |
| WA | 8482242 | 05 |
| Street Address |
120 NW 14TH AVE SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942462411 | William Patrick Kinane | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2008-06-26 |
| 1639360902 | Richard B. Rosenfield Md PC | Clinic/Center | 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 | 2007-08-05 |
| 1487844320 | Christopher M Colville | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-07-26 |
| 1447440433 | Ilan Jose Rothman | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-07-26 |
| 1679787295 | Vatche Krikor Bezdikian | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2007-05-10 |
| 1912048372 | Richard B Rosenfield | Obstetrics & Gynecology | 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 | 2007-02-09 |
| 1407997125 | Pearl Surgicenter, Inc. | Clinic/Center | 120 Nw 14th Ave, Suite 200, Portland, OR 97209-2643 | 2007-02-08 |
| 1831270545 | Richard Hector Bensimon | Surgery | 120 Nw 14th Ave, Suite 200, Portland, OR 97209 | 2006-10-18 |
| 1568568087 | Petra Kriz | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2006-09-15 |
| 1578572285 | Janice M Vaughn | Anesthesiology | 120 Nw 14th Ave, Ste 300, Portland, OR 97209-2643 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1447403605 | Leelee Khanh-hoa Thames | Anesthesiology | 3601 Sw River Pkwy Unit 800, Portland, OR 97239-4555 | 2008-10-30 |
| 1598942815 | Esther Sung | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 | 2008-01-29 |
| 1689871253 | Mark D Murrow | Anesthesiology | 2801 N Gantenbein Ave., Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2007-06-28 |
| 1477600260 | Mark Enker | Anesthesiology | 3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239-3011 | 2007-01-04 |
| 1265441638 | Robert D Wilson | Anesthesiology | 10379 Se Crescent Ridge Dr, Portland, OR 97086-9100 | 2006-08-05 |
| 1043227903 | Joshua B Siegel | Anesthesiology | 2307 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-08-02 |
| 1295749695 | David Gissen | Anesthesiology | 2846 Nw Ariel Ter, Portland, OR 97210-3119 | 2006-07-28 |
| 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.