NORTHWEST MEDICAL CLINIC PC (NPI# 1982861902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982861902 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MEDICAL CLINIC PC |
| Practice Address |
4035 Sw Mercantile Drive Suite 103 Lake Oswego OR 97035 |
| Practice Telephone | 5036757495 |
| Practice Fax Number | 5036757496 |
| Mailing Telephone | 5036757495 |
| Mailing Fax Number | 5036757496 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | DR. THOMAS TOAN TVINH (DOCTOR) |
| Authorized Official Telephone | 5036757495 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD21038 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
4035 SW MERCANTILE DRIVE SUITE 103 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179872 | Paula Diane Kilpatrick | Internal Medicine | 4035 Sw Mercantile Drive, Suite 101, Lake Oswego, OR 97035-2587 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| 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 |
|---|---|---|---|---|
| 1356852339 | Arthur Eric Ostergard | Family Medicine | 4291 Country Woods Ct, Lake Oswego, OR 97035-2538 | 2017-10-18 |
| 1316293442 | Russell Nicholas Sacco | Family Medicine | 1159 Lakefront Road, Lake Oswego, OR 97034-4605 | 2012-07-26 |
| 1114032836 | David W Selby | Family Medicine | 16463 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-4374 | 2006-08-21 |
| 1922027770 | Christopher Lien Hatlestad | Family Medicine | 17685 65th Ave, Suite 300, Lake Oswego, OR 97035-7800 | 2006-07-19 |
| 1861418832 | Kar-yee Wu | Family Medicine | 412 A Ave Ste 200, Lake Oswego, OR 97034-3078 | 2006-07-14 |
| 1104841642 | Walter Ray Hardin | Family Medicine | 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035-8660 | 2006-07-13 |
| 1235124520 | Herbert H Lim | Family Medicine | 4015 Mercantile Dr Ste 200, Lake Oswego, OR 97035-2552 | 2005-09-13 |
| 1952308561 | Cordon D. Bittner | Family Medicine | 18010 Mcewan Rd, Lake Oswego, OR 97035-7868 | 2005-06-29 |
| 1558366989 | Marion J N Darling | Family Medicine | 16699 Boones Ferry Rd, Ste 210, Lake Oswego, OR 97035-4366 | 2005-06-13 |
| 1164877023 | Susan A Blasi | Family Medicine | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2016-04-28 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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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.