DR. BOPHA CHREA (NPI# 1942611025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942611025 |
| Entity Type | Individual |
| Full Name | DR. BOPHA CHREA |
| Credential | M.D |
| Practice Address |
3181 Sw Sam Jackson Park Rd # Op31 Portland OR 97239-3011 |
| Practice Telephone | 5034947600 |
| Mailing Telephone | 6019842150 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MD197535 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3181 SW SAM JACKSON PARK RD # OP31 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658738 | Erik Ensrud | Physical Medicine & Rehabilitation | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2006-05-19 |
| 1508327222 | Stephany Mayer | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3098 | 2019-03-26 |
| 1386004521 | Nathan Wade Fennewald | Physician Assistant | 3181 Sw Sam Jackson Park Rd # Op31, Orthopedics & Rehabilitation Department, Portland, OR 97239-3011 | 2016-03-01 |
| 1558748210 | Clifford Lin | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2015-05-01 |
| 1588003677 | Sourabh Mukherjee | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2013-06-21 |
| 1366718116 | Lara Chamberlain Atwater | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346366523 | Natalie Squires Mesnier | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2007-03-21 |
| 1427057611 | Dirk G. Asherman | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-19 |
| 1366718116 | Lara Chamberlain Atwater | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd # Op31, Portland, OR 97239-3011 | 2012-03-27 |
| 1740559236 | Ali Abbasian Hersini | Orthopaedic Surgery | 195 Fore River Pkwy, Suite 210, Portland, ME 04102-2780 | 2011-12-29 |
| 1437440278 | Jessica Ann Faught | Orthopaedic Surgery | 195 Fore River Pkwy, Suire 210, Portland, ME 04102-2780 | 2011-04-27 |
| 1558533273 | Adam Parks Baker | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2008-04-02 |
| 1285683656 | Orthopedic & Fracture Clinic PC | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093014771 | Akash Gupta | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2011-03-21 |
| 1770581415 | Jeffrey Arthur Holmboe | Orthopaedic Surgery | 1303 Ne Cushing Dr, Ste 100, Bend, OR 97701-3887 | 2005-07-07 |
| 1477105278 | Akash Gupta Md PC | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2019-07-11 |
| 1225567928 | Eastside Orthopedics & Sports Medicine, LLC | Orthopaedic Surgery | 6542 Se Lake Rd Ste 201, Milwaukie, OR 97222-2245 | 2017-06-06 |
| 1508855818 | John-paul Veri | Orthopaedic Surgery | 2780 E Barnett Rd, Suite 200, Medford, OR 97504-8343 | 2005-10-19 |
Please comment or provide details below to improve the information on DR. BOPHA CHREA.
| 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.