Eric Alan Dover, ERIC DOVER, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16996 Issued in OR

Practice address

11705 NE Glisan St
Portland, OR 97220-2141

Phone

(503) 408-1610

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eric Alan Dover Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639296924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202141",
            "telephone_number": "503-408-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202141",
            "telephone_number": "503-408-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "credential": "ERIC DOVER, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD16996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "DOVER",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "ERIC DOVER, M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Viken Douzdjian, MD
• Cynthia Dove
• Dennis Dove
• Kaitlyn Dove
• Nicole A Dove, COUNSELING INTERN,
• Susan Joan Dow-Walhood, RDH
• Jacqueline Dow
• Joshua Empedocles Dow, M.D.
• Lillian M Dow
• Krystal Lynn Dowd

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.