Oregon Medical Board BOARD ACTION REPORT July 15, 2015 The information contained in this report summarizes new, interim, and final actions taken by the Oregon Medical Board between June 16, 2015, and July 15, 2015. 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 a Service Request Form (http://egov.oregon.gov/BME/PDFforms/VerDispMalFillin.pdf) found under the Licensee Information Request Form 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. _____________________________________________________________________________ *Alvarez, Lynn Marie, DO; DO23335; Salem, OR On July 9, 2015, Licensee entered into a Stipulated Order with the Board. This Order retires Licensee's medical license while under investigation. *Barone, Christopher Michael, MD; MD28251; Portland, OR On July 10, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2013 Stipulated Order by requiring practice site approval by the Board's Medical Director, and terminating terms 5.1, 5.2, 5.3, 5.4, 5.5, and 5.6. *Blackburn, Roy Manell, III, MD; MD22132; Eugene, OR On July 9, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2014 Stipulated Order, allowing for the treatment of chronic pain with non-controlled substances. *Bogard, Peter Shelby, DO; DO18557; Grants Pass, OR On June 25, 2015, Licensee entered into an Amended Interim Stipulated Order to voluntarily cease the treatment of chronic pain with DEA scheduled medications, cease the treatment of addiction, and cease the prescribing of buprenorphine within timeframes outlined in the Order, pending the completion of the Board's investigation into his ability to safely and competently
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Oregon Medical Board
BOARD ACTION REPORT July 15, 2015
The information contained in this report summarizes new, interim, and final actions taken by the Oregon Medical Board between June 16, 2015, and July 15, 2015. 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 a Service Request Form (http://egov.oregon.gov/BME/PDFforms/VerDispMalFillin.pdf) found under the Licensee Information Request Form 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. _____________________________________________________________________________ *Alvarez, Lynn Marie, DO; DO23335; Salem, OR On July 9, 2015, Licensee entered into a Stipulated Order with the Board. This Order retires Licensee's medical license while under investigation. *Barone, Christopher Michael, MD; MD28251; Portland, OR On July 10, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2013 Stipulated Order by requiring practice site approval by the Board's Medical Director, and terminating terms 5.1, 5.2, 5.3, 5.4, 5.5, and 5.6. *Blackburn, Roy Manell, III, MD; MD22132; Eugene, OR On July 9, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2014 Stipulated Order, allowing for the treatment of chronic pain with non-controlled substances. *Bogard, Peter Shelby, DO; DO18557; Grants Pass, OR On June 25, 2015, Licensee entered into an Amended Interim Stipulated Order to voluntarily cease the treatment of chronic pain with DEA scheduled medications, cease the treatment of addiction, and cease the prescribing of buprenorphine within timeframes outlined in the Order, pending the completion of the Board's investigation into his ability to safely and competently
practice medicine. This Order amends and replaces the Interim Stipulated Order of May 26, 2015. *Cross, Lorne Max, MD; MD27400; Portland, OR On July 9, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2014 Stipulated Order. *Dyson, Robert Duane, MD; MD11274; Portland, OR On July 9, 2015, the Board issued an Order Terminating Corrective Action Agreement. This Order terminates Licensee's 2015 Corrective Action Agreement. *Greeder, Glenn Alan, MD; MD14605; Portland, OR On July 9, 2015, the Board issued an Order Terminating Corrective Action Agreement. This Order terminates Licensee's 2011 Corrective Action Agreement. *Hasan, Shagufta Anbereen, MD; MD20989; Portland, OR On July 9, 2015, Licensee entered into an Amended Corrective Action Agreement with the Board. In this Agreement, Licensee agreed to complete a pre-approved education plan prior to resuming outpatient circumcisions, and use a pre-approved informed consent form when performing circumcisions. *Hokawala, Sobia, DPM; DP161197; Lake Oswego, OR On July 9, 2015, the Board issued an Order Terminating Consent Agreement. This Order terminates Licensee's 2015 Consent Agreement. *Holub, Ondria Louise, LAc; AC01108; Corvallis, OR On July 9, 2015, Licensee entered into a Stipulated Order with the Board for unprofessional or dishonorable conduct; gross or repeated acts of negligence; and willfully violating a Board order or regulation. This Order reprimands Licensee, and requires Licensee complete a pre-approved course on professional boundaries. *Johnson, Kevin Raymond, MD; MD16564; Portland, OR On July 9, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2014 Stipulated Order. *Ketcham, John Patrick, MD; MD25544; Portland, OR On July 9, 2015, Licensee entered into a Stipulated Order with the Board for unprofessional or dishonorable conduct, and gross or repeated acts of negligence. This Order reprimands Licensee; fines Licensee $5,000; requires Licensee to complete a pre-approved course on professional boundaries; and requires Licensee to establish a relationship with a physician mentor. *McCluskey, Edward Alan, MD; MD18356; Redlands, CA On July 9, 2015, the Board issued an Order Modifying Stipulated Order. This Order modifies Licensee's 2011 Stipulated Order. *McDougall, William Edwin, DO; DO24746; Brookings, OR On July 9, 2015, the Board issued an Order Terminating Stipulated Order. This Order terminates Licensee's 2010 Stipulated Order and his 2011 Order Modifying Stipulated Order.
*Moore, Gregory Anthony, MD; MD28629; Eugene, OR On July 9, 2015, Licensee entered into a Corrective Action Agreement with the Board. In this Agreement, Licensee agreed to enroll in the Health Professionals' Services Program. *Tangredi, Raymond Paul, MD; MD18328; Clackamas, OR On July 2, 2015, Licensee entered into an Interim Stipulated Order to voluntarily withdraw from practice and place his license in Inactive status pending the completion of the Board's investigation into his ability to safely and competently practice medicine. *Tillett, Steven Gary, DPM; DP00300; Portland, OR On July 9, 2015, the Board issued an Order Terminating Corrective Action Agreement. This Order terminates Licensee's 2014 Corrective Action Agreement. *Woodworth, Christopher Scott, MD; MD126154; La Grande, OR On July 9, 2015, Licensee entered into a Corrective Action Agreement with the Board. In this Agreement, Licensee agreed to complete a pre-approved education plan prior to resuming esophageal surgeries. ________________________________________________________________________ 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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