OPEN ADVANCED MRI OF PORTLAND PS (NPI# 1962849307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962849307 |
| Entity Type | Organization |
| Organization Name | OPEN ADVANCED MRI OF PORTLAND PS |
| Practice Address |
9370 Sw Greenburg Rd Portland OR 97223-5442 |
| Practice Telephone | 5032466666 |
| Practice Fax Number | 5038469465 |
| Mailing Telephone | 5032466666 |
| Mailing Fax Number | 5038469465 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | MRS. ELIZABETH A RICE (BILLING MANAGER) |
| Authorized Official Telephone | 3604026739 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
MD00038333 | WA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | G8886867 | 01 | |
| WA | MEDICARE | H11563 | 01 |
| WA | 8251449 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OPEN ADVANCED MRI OF PORTLAND PS | 9370 Sw Greenburg Rd, Suite J, Portland, OR 97223 |
| Street Address |
9370 SW GREENBURG RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726885 | Thomas Norman Barrett | Dentist | 9370 Sw Greenburg Rd, Suite 204, Portland, OR 97223-5442 | 2005-08-03 |
| 1245742386 | Roots Orthodontics LLC | Dentist | 9370 Sw Greenburg Rd, Portland, OR 97223-5442 | 2017-10-30 |
| 1184055469 | Theresa Marn Stein | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-12-11 |
| 1023449188 | Pamela Smith | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-27 |
| 1770913121 | Michael Mulligan | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-22 |
| 1376973750 | Jesus Roberto Munoz-zarate | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-20 |
| 1952743593 | Derek Chittenden | Massage Therapist | 9370 Sw Greenburg Rd, Ste 602, Portland, OR 97223-5442 | 2013-07-24 |
| 1841530763 | Oregon Fertility Institute Laboratory | Clinical Medical Laboratory | 9370 Sw Greenburg Rd, #412, Portland, OR 97223-5442 | 2013-03-01 |
| 1508135104 | Victoria A. Collins, Dc, PC | Chiropractor | 9370 Sw Greenburg Rd, Suite N, Portland, OR 97223-5442 | 2011-12-28 |
| 1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274355 | Jonica Marie Pile | Specialist/Technologist, Other | 14021 Ne Russell St, Portland, OR 97230-3836 | 2017-02-21 |
| 1659711307 | Ricky James Scotton | Specialist/Technologist, Other | 2616 Se 154th Ave, Portland, OR 97236-2270 | 2013-06-26 |
| 1073059754 | Daniel Lewis Fisher | Specialist/Technologist, Other | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2017-01-18 |
| 1881081305 | Lauren Craig-staffeld | Specialist/Technologist, Other | 315 Nw Lost Springs Ter, Unit 307, Portland, OR 97229-6444 | 2015-04-22 |
| 1720133572 | James Ruterbories | Specialist/Technologist, Other | 33 Sewall St, Portland, ME 04102-2603 | 2007-01-24 |
| 1366593899 | Diane Sanford King | Specialist/Technologist, Other | 22 Bramhall St, Portland, ME 04102-3134 | 2007-01-12 |
| 1902956626 | Faye M Maier | Specialist/Technologist, Other | 24 Newton St, Portland, ME 04103-1524 | 2007-01-12 |
| 1083763858 | Christina J Jordan | Specialist/Technologist, Other | 22 Bramhall St, Portland, ME 04102-3134 | 2007-01-09 |
| 1700965423 | Frank Ryder | Specialist/Technologist, Other | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2006-11-03 |
| 1063591717 | Nancy Lee Naftalin | Specialist/Technologist, Other | 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | 2006-11-03 |
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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.