WILLAMETTE FALLS HOSPITAL (NPI# 1942454087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942454087 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE FALLS HOSPITAL |
| Other Organization Name | WILLAMETTE FALLS SPINE CENTER |
| Practice Address |
1510 Division St Suite 170 Oregon City OR 97045-1581 |
| Mailing Address |
1510 Division St Suite 210 Oregon City OR 97045-1581 |
| Practice Telephone | 5036506288 |
| Practice Fax Number | 5036506884 |
| Mailing Telephone | 5037236525 |
| Mailing Fax Number | 5037236508 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MRS. KIM KIRCHHOFER (SUPERVISOR) |
| Authorized Official Telephone | 5037236525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD27619 | OR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Willamette Falls Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427266246 | Willamette Falls Hospital | Internal Medicine | 9755 Se Sunnyside Rd, Ste 800, Clackamas, OR 97015-6784 | 2007-05-18 |
| 1407063597 | Willamette Falls Hospital | Internal Medicine | 18676 Willamette Dr Ste 100, West Linn, OR 97068-1718 | 2007-05-17 |
| 1184629339 | Willamette Falls Hospital | Hospice Care, Community Based | 1505 Division St, Oregon City, OR 97045-1526 | 2005-06-15 |
| 1962665232 | Willamette Falls Hospital | Surgery | 1510 Division St, Ste 210, Oregon City, OR 97045-1581 | 2008-07-08 |
| 1639108434 | Willamette Falls Hospital | General Acute Care Hospital | 1500 Division St, Oregon City, OR 97045-1527 | 2006-07-02 |
| Street Address |
1510 DIVISION ST SUITE 170 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387049 | Kevin Raymond Johnson I | Surgery | 1510 Division St, Ste 210, Oregon City, OR 97045-1599 | 2005-06-22 |
| 1558819235 | Heather Mirenda | Social Worker | 1510 Division St, 90, Oregon City, OR 97045-1581 | 2016-09-12 |
| 1538454665 | Providence Health & Services - Oregon | Internal Medicine | 1510 Division St, Suite 130, Oregon City, OR 97045-1572 | 2011-06-16 |
| 1346533585 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 100, Oregon City, OR 97045-1572 | 2011-05-20 |
| 1144529306 | Jennifer Eileen Shepard | Pediatrics | 1510 Division St, Suite 280, Oregon City, OR 97045-1581 | 2011-03-26 |
| 1194057497 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Ste 170, Oregon City, OR 97045-1581 | 2010-02-11 |
| 1730411034 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 210, Oregon City, OR 97045-1599 | 2010-02-11 |
| 1821320128 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Ste 170, Oregon City, OR 97045-2551 | 2010-02-11 |
| 1891026647 | Providence Health & Services - Oregon | Clinic/Center | 1510 Division St, Suite 200, Oregon City, OR 97045-1599 | 2010-01-19 |
| 1962665232 | Willamette Falls Hospital | Surgery | 1510 Division St, Ste 210, Oregon City, OR 97045-1581 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037020 | Daniel Eric Marsh Jr. | Physical Medicine & Rehabilitation | 14290 Marjorie Ln Apt 2098, Oregon City, OR 97045-7863 | 2018-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650864 | David Edison Harris | Physical Medicine & Rehabilitation | 707 Murphy Rd Ste 101, Medford, OR 97504-8520 | 2020-05-16 |
| 1265062202 | Resurgent Health, LLC | Physical Medicine & Rehabilitation | 2850 Se Powell Valley Rd Ste 205a, Gresham, OR 97080-1489 | 2020-01-17 |
| 1568003887 | Transform Health LLC | Physical Medicine & Rehabilitation | 1200 Executive Pkwy Ste 260, Eugene, OR 97401-2199 | 2019-10-08 |
| 1215434519 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 17175 Sw Tualatin Valley Hwy Ste A-1, Beaverton, OR 97003-4584 | 2018-04-12 |
| 1013417351 | Burnside Surgery Center LLC | Physical Medicine & Rehabilitation | 689 Nw Burnside Rd Fl 1, Gresham, OR 97030-3739 | 2018-02-13 |
| 1902117898 | Jennifer K Cann | Physical Medicine & Rehabilitation | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2010-06-25 |
| 1639303597 | Trevor Dee Jorgensen | Physical Medicine & Rehabilitation | 2003 Cedar St, Forest Grove, OR 97116-1701 | 2009-05-07 |
| 1033319124 | Gregory M Phillips | Physical Medicine & Rehabilitation | 74b Centennial Loop Ste 300, Neurospine Institute LLC, Eugene, OR 97401-7925 | 2007-07-18 |
| 1144428079 | Rebeca M Monreal | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2007-07-03 |
| 1407335979 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 17175 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4584 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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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.