MILDRED STURTEVANT (NPI# 1861081317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861081317 |
| Entity Type | Individual |
| Full Name | MILDRED STURTEVANT |
| Gender | Female |
| Practice Address | 2828 Sw Sunset Blvd Portland OR 97239-1225 |
| Practice Telephone | 5035502133 |
| Mailing Address | 2828 Sw Sunset Blvd Portland OR 97239-1225 |
| Mailing Telephone | 5035502133 |
| Certification Date | 2021-01-11 |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 2828 SW SUNSET BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi · Ellen Noreen Kessi | Social Worker · Clinical | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 | |
| 1518584036 | Abigail Nichole Dumont | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 | |
| 1336769637 | Molly Tanguay | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 | |
| 1063040525 | Jessica Nursick | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 | |
| 1689217630 | Evan Eisher | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 | |
| 1508407941 | Amie Bates | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 | |
| 1558923326 | Mackenzie Graye Mcmillin | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 | |
| 1447812268 | Maksim Yefimov | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 | |
| 1942794839 | Michael Peterson | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 | |
| 1306383930 | Rachel Lynn Witowski | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972557445 | Village of Sturtevant · Sturtevant Public Safety | Ambulance · Land Transport | 2801 89th St, Sturtevant, WI 53177-2033 | 2006-05-20 |
| 1407093040 | Mildred R Arche · Mildred Reyes-Garcia | Pediatrics | Comercio A-6, Urb. El Retiro, Caguas, PR 00725 | 2009-01-20 |
| 1972109395 | Mildred I Shirley · Mildred I Weese | Technician · Personal Care Attendant | 106 Sand Mine Rd Ste 1, Berkeley Springs, WV 25411-7457 | 2020-12-10 |
| 1497138119 | Mildred Iyasere · Mildred Esene | Licensed Vocational Nurse | 69 Delaware Ave, 1200, Buffalo, NY 14202-3812 | 2015-06-30 |
| 1528254489 | Mildred Elizabeth Hyde · Mildred Enos | Speech-Language Pathologist | 415 Cedar St Se, Albuquerque, NM 87106-3927 | 2007-09-24 |
| 1952443871 | Mildred Goldberg · Mildred Weintravd | Social Worker · Clinical | 63 West Hudson Ave, 11a, Englewood, NJ 07631-1792 | 2007-02-14 |
| 1134362429 | Mildred S Snell · Mildred A Stinson | Family Medicine | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2009-04-15 |
| 1699916296 | Mildred Johanna Blandino · Mildred Johanan Mayorga | Social Worker · Clinical | 2090 Evans Ln, San Jose, CA 95125-2072 | 2009-03-12 |
| 1245431618 | Mildred Ambulance Association Inc | Ambulance · Land Transport | 113 School Road, Mildred, PA 18632-0074 | 2007-05-31 |
| 1023296910 | Mildred Williams · Mildred Olamit Karaan | Registered Nurse · Critical Care Medicine | 840 8th St Ne, Naples, FL 34120-2100 | 2008-02-04 |
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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.