CODY CRAIG STEKLY


Address: 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631
Phone: 5039358500

CODY CRAIG STEKLY (NPI# 1992296826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992296826
Entity Type Individual
Full Name CODY CRAIG STEKLY
Credential PAC
Practice Address 9155 Sw Barnes Rd Ste 440
Portland
OR 97225-6631
Mailing Address 847 Ne 19th Ave Ste 300
Portland
OR 97232-2686
Practice Telephone 5039358500
Practice Fax Number 5039358505
Mailing Telephone 5039632801
Mailing Fax Number 5039632825
Enumeration Date 2018-05-26
Last Update Date 2019-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA190452 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2114750 05
OR 500756280 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
5050 Ne Hoyt St Ste 359, Portland, OR 972132983 5039358501 5039358506

Office Location

Street Address 9155 SW BARNES RD STE 440
City PORTLAND
State OR
Zip Code 97225-6631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013161405 Lorraine Walburga Gohman Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2008-11-11
1699373530 Callie Chere' Peters Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2020-10-13
1871118091 Courtney Jean Mostul Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2020-06-12
1376176073 Krista Danielle Becker Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2020-02-20
1790273811 Shayne Mahealani Ahwah Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225 2018-04-24
1336592468 Amy Alberts Nurse Practitioner 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2016-07-13
1851770945 Travis Alexi Rabbit Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2015-05-22
1750780847 Kareen Leavens Obstetrics & Gynecology 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2014-08-14
1558700781 Chad Esterberg Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 2013-06-20
1437491115 Teressa Elizabeth Haefele Raine Physician Assistant 9155 Sw Barnes Rd Ste 440, Portland, OR 97225 2013-03-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1336769637 Molly Tanguay Physician Assistant 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1063040525 Jessica Nursick Physician Assistant 26 Sand Hill Rd, Portland, CT 06480-1737 2020-03-31
1689217630 Evan Eisher Physician Assistant 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates Physician Assistant 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1558923326 Mackenzie Graye Mcmillin Physician Assistant 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1306383930 Rachel Lynn Witowski Physician Assistant 2124 Nw Hoyt St, Portland, OR 97210-3215 2017-01-20
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

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.

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