Michael R Van Allen MD PC

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

MICHAEL R VAN ALLEN MD PC

Practice address

19255 SW 65TH Ave
Suite 210
Tualatin, OR 97062-7451

Phone

(503) 692-8907

NPI assigned

Oct 22, 2008

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael R. Van Allen, MD, PC.NPI 1912906405

Title

Physician

Phone

(503) 692-8907

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Vanallen, M D P C

  • Surgery of the Hand (Surgery) Physician
  • Tualatin, OR
  • NPI 1912906405

  Single Specialty

  Medicare reassignment NPD Authorized official
• Heather Wehling Peterson

  • Occupational Therapist
  • Tualatin, OR
  • NPI 1215243316
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1790937662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970621729",
            "telephone_number": "503-692-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 SW 65TH AVE",
            "address_2": "SUITE 210",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627451",
            "telephone_number": "503-692-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R VAN ALLEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "VAN ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-692-8907",
        "authorized_official_credential": "MD, PC."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vanallen@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "19255 SW 65th Ave",
            "address_2": "Suite 210",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970627451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Merz
• Metatron Health LLC (Portland Regenerative Medicine Center)
• MFT Holdings, LLC (Massage Envy of Tualatin)
• Michael P. Gardner, MD PC
• Michael P. Gardner, MD PC (Oregon Urology Alliance)
• Michael W. Gehlen D.M.D.,P.C. (Tualatin Cosmetic & Family Dentistry)
• Suzanne L Migchelbrink, MD
• Tatyana Mikhlina, LMT
• Ashley Mildren, DPT
• Amanda Kay Milian

• Orthopaedic Hand Surgery Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Orthopaedic Hand Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.