April 15, 2017 - Oregon 16, 2017...April 15, 2017 The information contained in this report...

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Oregon Medical Board BOARD ACTION REPORT April 15, 2017 The information contained in this report summarizes new, interim, and final actions taken by the Oregon Medical Board between March 16, 2017, and April 15, 2017. Scanned copies of Interim Stipulated Orders, Orders of Emergency Suspension, Stipulated Orders, Final Orders, Termination Orders, Modification Orders and Voluntary Limitations are included at the end of this report in the order that they appear in the report. These orders are marked with an * asterisk. Scanned copies of Consent Agreements are not posted, as they are not disciplinary action and impose no practice limitations. Complaint and Notices of Proposed Disciplinary Action are not listed in this report, as they are not final actions by the Board. Both Orders, however, are public and are available upon request. Printed copies of the Board Orders not provided with this report are available to the public. To obtain a printed copy of a Board Order not provided in this report, please complete the License Verification and Malpractice Report Request (http://www.oregon.gov/OMB/ombforms1/request- licensee-info-verification.pdf) found under the Forms link on the Board's web site. Submit it with the $10.00 fee per licensee and mail to: Oregon Medical Board 1500 SW 1st Ave, Ste 620 Portland, OR 97201 Copies of the Orders listed below are mailed to Oregon hospitals where the Licensee had self- reported that he/she has privileges. _____________________________________________________________________________ *Adams, Justin Robert, MD; MD156479; Medford, OR On April 6, 2017, Licensee entered into a Stipulated Order with the Board for unprofessional or dishonorable conduct; gross or repeated acts of negligence; willfully violating any Board rule; duty to report prohibited or unprofessional conduct; and requirement to report unprofessional conduct. This Order reprimands Licensee; assesses a $4,000 civil penalty; places Licensee on probation for five years; prohibits Licensee from performing prolotherapy; requires Licensee to follow nationally published guidelines when treating for thyroid replacement or hypogonadism; requires Licensee to complete pre-approved courses on medical documentation and professionalism; requires practice site approval from the Board's Medical Director; subjects Licensee's practice to no-notice office visits by the Board; and prohibits Licensee from prescribing to friends and family. *Bristol, Thomas Lindsey, MD; MD09602; Salem, OR On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This Order terminates Licensee's October 8, 2015, Corrective Action Agreement.

Transcript of April 15, 2017 - Oregon 16, 2017...April 15, 2017 The information contained in this report...

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Oregon Medical Board

BOARD ACTION REPORT April 15, 2017

The information contained in this report summarizes new, interim, and final actions taken by the

Oregon Medical Board between March 16, 2017, and April 15, 2017.

Scanned copies of Interim Stipulated Orders, Orders of Emergency Suspension, Stipulated

Orders, Final Orders, Termination Orders, Modification Orders and Voluntary Limitations are

included at the end of this report in the order that they appear in the report. These orders are

marked with an * asterisk. Scanned copies of Consent Agreements are not posted, as they

are not disciplinary action and impose no practice limitations. Complaint and Notices of

Proposed Disciplinary Action are not listed in this report, as they are not final actions by the

Board. Both Orders, however, are public and are available upon request.

Printed copies of the Board Orders not provided with this report are available to the public. To

obtain a printed copy of a Board Order not provided in this report, please complete the License

Verification and Malpractice Report Request (http://www.oregon.gov/OMB/ombforms1/request-

licensee-info-verification.pdf) found under the Forms link on the Board's web site. Submit it with

the $10.00 fee per licensee and mail to:

Oregon Medical Board

1500 SW 1st Ave, Ste 620

Portland, OR 97201

Copies of the Orders listed below are mailed to Oregon hospitals where the Licensee had self-

reported that he/she has privileges.

_____________________________________________________________________________

*Adams, Justin Robert, MD; MD156479; Medford, OR

On April 6, 2017, Licensee entered into a Stipulated Order with the Board for unprofessional

or dishonorable conduct; gross or repeated acts of negligence; willfully violating any Board

rule; duty to report prohibited or unprofessional conduct; and requirement to report

unprofessional conduct. This Order reprimands Licensee; assesses a $4,000 civil penalty;

places Licensee on probation for five years; prohibits Licensee from performing prolotherapy;

requires Licensee to follow nationally published guidelines when treating for thyroid

replacement or hypogonadism; requires Licensee to complete pre-approved courses on medical

documentation and professionalism; requires practice site approval from the Board's Medical

Director; subjects Licensee's practice to no-notice office visits by the Board; and prohibits

Licensee from prescribing to friends and family.

*Bristol, Thomas Lindsey, MD; MD09602; Salem, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's October 8, 2015, Corrective Action Agreement.

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*Cross, Lorne Max, MD; MD27400; Salem, OR

On April 6, 2017, the Board issued an Order Modifying Stipulated Order. This Order modifies

Licensee's October 2, 2014 Stipulated Order and terminates Licensee's July 9, 2015, Order

Modifying Stipulated Order.

*Ellingsen, Megan Briggs, MD; MD166330; Bend, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's October 6, 2016, Corrective Action Agreement.

*Flemming, Jeffrey Edward, MD; MD13910; Portland, OR

On April 6, 2017, Licensee entered into a Stipulated Order with the Board for unprofessional

or dishonorable conduct. With this Order, Licensee surrenders his Oregon medical license

while under investigation.

*Harp, Kristina Elizabeth, MD; MD18780; Lake Oswego, OR

On April 7, 2017, Licensee entered into a Corrective Action Agreement with the Board. In

this Agreement, Licensee agreed to complete pre-approved courses in prescribing for chronic

pain and medical documentation; and pre-approved CME related to prescribing.

*Henning, Monica Sze-Yin, MD; MD155319; Tulsa, OK

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's April 3, 2014, Corrective Action Agreement and April 7, 2016,

Order Modifying Corrective Action Agreement.

*Izenberg, Seth David, MD; MD21051; Portland, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's January 7, 2016, Corrective Action Agreement.

Kobayashi, Kari Marie, PA; PA156305; Hillsboro, OR

On April 6, 2017, the Board issued an Order Terminating Consent Agreement. This Order

terminates Licensee's November 4, 2014, Consent Agreement.

*Monji, Zena Ione, MD; MD19379; Eugene, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's October 6, 2016, Corrective Action Agreement.

*Roth, Debra Elaine, PA; PA130024; Eugene, OR

On April 6, 2017, the Board issued an Order Terminating Interim Stipulated Order. This

Order terminates Licensee's October 28, 2016, Interim Stipulated Order.

*Soldevilla, Francisco Xavier, MD; MD14348; Tualatin, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's October 6, 2016, Corrective Action Agreement.

*Stapleton, Joseph Paul, MD; MD13551; Happy Valley, OR

On April 6, 2017, the Board issued an Order Terminating Stipulated Order. This Order

terminates Licensee's January 8, 2015, Stipulated Order.

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*Taylor, Mark Anthony, MD; MD24416; Corvallis, OR

On April 6, 2017, Licensee entered into a Stipulated Order with the Board unprofessional or

dishonorable conduct. With this Order, Licensee surrenders his Oregon medical license while

under investigation.

*Tippetts, Rebekha Keeaokalani, MD; MD23199; Lake Oswego, OR

On April 6, 2017, Licensee entered into a Stipulated Order with the Board for unprofessional

or dishonorable conduct. With this Order, Licensee surrenders her Oregon medical license

while under investigation.

*Walker, Kent Ray, DO; DO20295; Pendleton, OR

On April 6, 2017, Licensee entered into a Stipulated Order with the Board for unprofessional

or dishonorable conduct; gross or repeated acts of negligence; willful violation of any rule

adopted by the Board; and prescribing controlled substances without a legitimate medical

purpose or without following accepted procedures for examination of patients or for record

keeping. This Order reprimands Licensee; places Licensee on probation; assesses a $5,000

civil penalty; places restrictions on Licensee's prescribing; requires Licensee to comply with

the Oregon Administrative Rules regarding treatment for weight reduction and the

maintenance of a log for dispensed or administered controlled substances; and subjects

Licensee's medical practice and charts to random audits.

*Weisensee, Fredrick William, MD; MD15287; Albany, OR

On April 6, 2017, the Board issued an Order Terminating Corrective Action Agreement. This

Order terminates Licensee's July 7, 2016, Corrective Action Agreement.

________________________________________________________________________

If you have any questions regarding this service, please call the Board at (971) 673-2700 or toll-

free within Oregon at (877) 254-6263.

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