DR. ALBERT PHAN (NPI# 1972970093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972970093 |
| Entity Type | Individual |
| Full Name | DR. ALBERT PHAN |
| Credential | D.O. |
| Practice Address |
12350 Nw Main St Ste 112 Banks OR 97106-9045 |
| Mailing Address |
4307 Ne Grand Ave Portland OR 97211-3916 |
| Practice Telephone | 5033241568 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO187536 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Se Hillmoor Dr, Port St Lucie, FL 349527539 | 7723987936 | 7723987970 |
| Street Address |
12350 NW MAIN ST STE 112 |
| City | BANKS |
| State | OR |
| Zip Code | 97106-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326511239 | Julia Martin Wenger | Nurse Practitioner | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2019-01-03 |
| 1043740616 | Northwest Medical Foundation of Tillamook | Clinic/Center | 12350 Nw Main St Ste 112, Banks, OR 97106-9045 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487060562 | Kasey Webber | Specialist | 909 Sw 18th Ave, Portland, OR 97106 | 2014-07-09 |
| 1053558239 | Crystal Stachera | Marriage & Family Therapist | 42355 Nw Oak Way # 672, Banks, OR 97106-6021 | 2009-01-09 |
| 1346782125 | Heidi Brogdon | Massage Therapist | 12860 Nw Jarvis Pl Apt 4, Banks, OR 97106-6059 | 2016-11-10 |
| 1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
| 1003365990 | Aurora Wickstrom | Speech-Language Pathologist | 41320 Nw Lodge Rd, Banks, OR 97106-7136 | 2016-10-03 |
| 1306396403 | Alexa Heilbrun | Respiratory Therapist, Certified | 18475 Nw North Star Dr, Banks, OR 97106-7235 | 2016-10-12 |
| 1245494947 | John Patrick Archer | Chiropractor | 40020 Nw Banks Rd, Banks, OR 97106-8500 | 2008-07-11 |
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1598905150 | Lynnette Irene Hofler | Registered Nurse | 50700 Nw Cedar Canyon Rd, Banks, OR 97106-8816 | 2009-02-23 |
| 1376819615 | Emily Elizabeth Tarleton | Specialist | 45319 Nw Hartwick Rd, Banks, OR 97106-8854 | 2012-03-30 |
| Find all providers in zip 97106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALBERT PHAN.
| 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.