ROBERT SAMUEL DIAZ
Student in an Organized Health Care Education/Training Program

Address: 3181 Sw Sam Jackson Park Rd L-579, Portland, OR 97239

ROBERT SAMUEL DIAZ (NPI# 1245816727) 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) 1245816727
Entity Type Individual
Full Name ROBERT SAMUEL DIAZ
Gender Male
Credential MD
Practice Address 3181 Sw Sam Jackson Park Rd L-579
Portland
OR 97239
Practice Telephone 9713226771
Mailing Address 3181 Sw Sam Jackson Park Rd L-579
Portland
OR 97239
Mailing Telephone 9713226771
Certification Date 2021-03-23
Enumeration Date 2021-03-23
Last Update Date 2021-03-23
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3181 SW SAM JACKSON PARK RD L-579
City PORTLAND
State OR
Zip Code 97239

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1063090942 Mark Scurrah Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2021-03-31
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones · Pheba Mariam George Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1003468265 Taylor Roemelt Student in an Organized Health Care Education/Training Program 3710 Sw Us Veterans Road, Portland, OR 97239 2019-07-09
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1083273965 Jason I Hockings Student in an Organized Health Care Education/Training Program 3101 S.w. Sam Jackson Park Rd., Portland, OR 97239 2019-06-13
1003375551 Rebecca X Casanova Social Worker - Clinical 3710 Sw Us Veterans Hospital Road, P3mhc, Portland, OR 97239 2019-03-14
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780263558 Amanda Graveson Student in an Organized Health Care Education/Training Program 900 Nw Lovejoy St Apt 1010, Portland, OR 97209-3483 2021-04-07
1730768938 Evnica I Korotkikh Student in an Organized Health Care Education/Training Program 6428 Se Jennings Ave, Portland, OR 97267-6317 2021-04-05
1063090942 Mark Scurrah Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2021-03-31
1407433774 Facundo Gregorio Sanchez Student in an Organized Health Care Education/Training Program 1829 Nw Lovejoy St Unit 212, Portland, OR 97209-1523 2021-03-24
1023694866 Claire Mccord Conrad Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 2021-03-22
1831775527 Douglas Alexander Preston Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd Apt 12, Portland, OR 97239-3079 2021-03-22
1114512332 Diana Karen Lujan Valerio Student in an Organized Health Care Education/Training Program 5415 Sw Westgate Dr, Portland, OR 97221-2409 2021-03-09
1073102869 Brian Michael Thatcher Student in an Organized Health Care Education/Training Program Lifeworks Northwest, 14600 Nw Cornell Road, Portland, OR 97229-5442 2021-01-15
1760079503 Nicolas Robert Fenton Student in an Organized Health Care Education/Training Program 198 Concord St, Portland, ME 04103-3102 2020-12-28
1588269815 Ashley Bullie Koch Student in an Organized Health Care Education/Training Program 2556 Nw Northrup St, Portland, OR 97210-2684 2020-12-03
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

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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.