DYLAN WALKER (NPI# 1003413261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003413261 |
| Entity Type | Individual |
| Full Name | DYLAN WALKER |
| Practice Address |
1049 Sw Baseline St Hillsboro OR 97123-3835 |
| Mailing Address |
Po Box 16576 Portland OR 97292-0576 |
| Practice Telephone | 5034652749 |
| Mailing Telephone | 5034652749 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000104032 | OR | Other Service Providers |
| Street Address |
1049 SW BASELINE ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124135991 | Kathy Linda Nordahl | Counselor | 1049 Sw Baseline St, B-240, Hillsboro, OR 97123-3835 | 2006-08-25 |
| 1699372847 | Jessy Powell | Peer Specialist | 1049 Sw Baseline St, Hillsboro, OR 97123-3835 | 2020-10-01 |
| 1770054496 | Stephen Norberg | Peer Specialist | 1049 Sw Baseline St, Hillsboro, OR 97123-3835 | 2018-12-06 |
| 1467958777 | Ketki Patankar | Counselor | 1049 Sw Baseline St, Hillsboro, OR 97123-3835 | 2018-04-04 |
| 1720437379 | Jolee Scott | Counselor | 1049 Sw Baseline St, Building D, Suite 455, Hillsboro, OR 97123-3835 | 2016-06-05 |
| 1790897437 | Susan Jackson Ulbright | Social Worker | 1049 Sw Baseline St, Suite B 240, Hillsboro, OR 97123-3835 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697467 | Melissa Judd | Peer Specialist | 1049 Sw Baseline St Ste 480, Hillsboro, OR 97123-3863 | 2019-03-06 |
| 1245747492 | Molly R Griggs | Peer Specialist | 4660 Ne Belknap Ct Ste 201p, Hillsboro, OR 97124-8405 | 2018-01-09 |
| 1003321639 | Kelsey E Mcirvin | Peer Specialist | 514 Se 8th Ave, Hillsboro, OR 97123-4521 | 2017-12-05 |
| 1174068548 | Nancy Nylund | Peer Specialist | 247 Sw Washington St, Ste. 100, Hillsboro, OR 97123-0756 | 2016-12-21 |
| 1396343083 | Richard Catto | Peer Specialist | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2020-10-14 |
| 1699372847 | Jessy Powell | Peer Specialist | 1049 Sw Baseline St, Hillsboro, OR 97123-3835 | 2020-10-01 |
| 1346872140 | Sarah Lofgren | Peer Specialist | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2020-02-10 |
| 1245879063 | Silvia Stavreva | Peer Specialist | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2019-12-26 |
| 1568016871 | Ellamae Ann Smith | Peer Specialist | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-07-25 |
| 1558927897 | Eric Joseph Welch | Peer Specialist | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2019-05-13 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.