Gresham Women'S Healthcare, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DO17065 Issued in OR

Legal business name

GRESHAM WOMEN'S HEALTHCARE, PC

Practice address

2150 NE Division St Ste 202
Gresham, OR 97030-5859

Phone

(503) 667-4545

Fax

(503) 666-3298

NPI assigned

Nov 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. B. Edward Yanke, D.O.

Title

Owner

Phone

(503) 667-4545

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1255513701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST STE 202",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305859",
            "telephone_number": "503-667-4545",
            "fax_number": "503-666-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST STE 202",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305859",
            "telephone_number": "503-667-4545",
            "fax_number": "503-666-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM WOMEN'S HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "YANKE",
        "authorized_official_first_name": "B. EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-667-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO17065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gresham Therapeutic Massage Center
• Gresham Vision Center, Inc
• Gresham West of Cascadia, LLC
• Gresham West of Olympus, LLC
• Gresham Women'S Health LLC
• Timothy William Grieve, CADC II
• Gregory Griffin, LMT
• Janie Donalda Griffin, CPNP
• Susie Griffin, LMT
• Murlan E Grise, DO

• Obstetrics & Gynecology Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.