DR. KELLIE SCHENK (NPI# 1952545923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952545923 |
| Entity Type | Individual |
| Full Name | DR. KELLIE SCHENK |
| Credential | M.D. |
| Practice Address |
8950 Sw Nimbus Ave Beaverton OR 97008-7478 |
| Mailing Address |
233 Ne 102nd Ave Portland OR 97220-4106 |
| Practice Telephone | 5032531105 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD165494 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
50087 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8950 SW NIMBUS AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-7478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709925 | Stephen L Rubin | Surgery | 8950 Sw Nimbus Ave, Suite 150, Beaverton, OR 97008-7119 | 2006-06-15 |
| 1407921208 | Epic Imaging-west, Inc. | Radiology | 8950 Sw Nimbus Ave, Beaverton, OR 97008 | 2006-11-21 |
| 1902979248 | Judith Richmond Md PC | Clinic/Center | 8950 Sw Nimbus Ave, Suite 150, Beaverton, OR 97008-7478 | 2006-11-16 |
| 1275551061 | Rahul Naren Desai | Radiology | 8950 Sw Nimbus Ave, 150, Beaverton, OR 97008-7478 | 2006-07-18 |
| 1174558779 | Stephen Rubinmd PC | Surgery | 8950 Sw Nimbus Ave, 150, Beaverton, OR 97008-7478 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972678779 | Jay A Bocchi | Radiology | 8950 Sw Nimbus Avenue, Beaverton, OR 97008 | 2006-11-21 |
| 1407921208 | Epic Imaging-west, Inc. | Radiology | 8950 Sw Nimbus Ave, Beaverton, OR 97008 | 2006-11-21 |
| 1821009879 | Gilbert Willard Eklund | Radiology | 1500 Nw Bethany Blvd, 100, Beaverton, OR 97006-5208 | 2006-08-11 |
| 1649281692 | Body Imaging PC | Radiology | 1500 Nw Bethany Blvd, Suite 100, Beaverton, OR 97006-5233 | 2006-08-11 |
| 1932110988 | Paul Anthony Meunier | Radiology | 1500 Nw Bethany Blvd, Ste 100, Beaverton, OR 97006-5233 | 2006-08-11 |
| 1841201894 | Jane E Bedell | Radiology | 1500 Nw Bethany Blvd, Ste 100, Beaverton, OR 97006-5208 | 2006-08-11 |
| 1275551061 | Rahul Naren Desai | Radiology | 8950 Sw Nimbus Ave, 150, Beaverton, OR 97008-7478 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1336503341 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 | 2016-04-06 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1093147985 | Telerad of Or Account Management LLC | Radiology | 2315 W 28th Ave, Eugene, OR 97405-5901 | 2013-08-02 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| Find all providers with the same taxonomy | ||||
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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.