MR. LEE W PORTER (NPI# 1013932425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013932425 |
| Entity Type | Individual |
| Full Name | MR. LEE W PORTER |
| Credential | APRN-NP, NP-CNSPSYCH |
| Practice Address |
1029 River Rd Oregon Integrated Health Eugene OR 97404-3242 |
| Mailing Address |
2933 Ava St Eugene OR 97404-2006 |
| Practice Telephone | 5039720235 |
| Practice Fax Number | 5416315114 |
| Mailing Telephone | 9105154100 |
| Mailing Fax Number | 8885623550 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
163552 | NC | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | AP60514056 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201501835NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
201501835NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
201501836CNS | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
163552 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0811X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Chronically Ill |
201501835NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PECOS PAC ID | 3072541580 | 01 |
| OR | PECOS PAC ENROLLMENT ID | I20160510002557 | 01 |
| NC | BLUE CROSS PROVIDER ID | 131VX | 01 |
| OR | 500709395 | 05 |
| Street Address |
1029 RIVER RD OREGON INTEGRATED HEALTH |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720037625 | Rose Elena Ahearn | Physical Therapist | 1029 River Rd, Eugene, OR 97404-3242 | 2006-05-08 |
| 1679039580 | Rose Ahearn Pt PC | Physical Therapist | 1029 River Rd, Eugene, OR 97404-3242 | 2019-02-15 |
| 1467926329 | Imhealth | Clinic/Center | 1029 River Rd, Eugene, OR 97404-3242 | 2019-01-14 |
| 1073098315 | Kyle Nathan Lapoint | Naturopath | 1029 River Rd, Eugene, OR 97404-3242 | 2018-10-02 |
| 1912431594 | Clinicops LLC | Counselor | 1029 River Rd, Eugene, OR 97404-3242 | 2017-04-20 |
| 1679966634 | Sarah Grace Keating | Nurse Practitioner | 1029 River Rd, Eugene, OR 97404-3242 | 2015-03-13 |
| 1386045805 | Andrew Wayne Huston | Chiropractor | 1029 River Rd, Eugene, OR 97404 | 2014-09-16 |
| 1871905620 | Randa Jill Kucey | Nurse Practitioner | 1029 River Rd, Eugene, OR 97404 | 2014-05-28 |
| 1639461361 | Wade H. Watts, Dc.,pc. | Chiropractor | 1029 River Rd, Eugene, OR 97404-3242 | 2011-05-13 |
| 1598057309 | Gervais Chiropractic, LLC | Clinic/Center | 1029 River Rd, Eugene, OR 97404-3242 | 2011-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861590036 | Wendy Hill Park | Clinical Nurse Specialist | 1892 Willamette St, Eugene, OR 97401-4044 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1851603971 | Phyllis Marcia Cronin | Clinical Nurse Specialist | 6525 Ne. Mallory Avenue, Portland, OR 97211-2421 | 2010-07-06 |
| 1023566015 | Caitlin Margitan | Clinical Nurse Specialist | 847 Ne 19th Ave Suite 100, Portland, OR 97232-2684 | 2016-09-19 |
| 1316186851 | Mary Catherine King | Clinical Nurse Specialist | 9155 Sw Barnes Rd, Suite 418, Portland, OR 97225-6625 | 2009-02-06 |
| 1134371859 | Sarah Parshley | Clinical Nurse Specialist | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-2941 | 2008-10-13 |
| 1376734392 | 'alice Louise Kamm | Clinical Nurse Specialist | 2133 Ne Broadway, Portland, OR 97232-1878 | 2007-08-06 |
| 1316146624 | James Joseph Devaney | Clinical Nurse Specialist | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2007-07-16 |
| 1467575571 | Harley G Klein | Clinical Nurse Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-04-06 |
| 1215071253 | Nancy Davis Hodges | Clinical Nurse Specialist | 1130 Sw Morrison St, Suite 619, Portland, OR 97205-2234 | 2007-02-15 |
| 1730233529 | Shelby Ann Sanford | Clinical Nurse Specialist | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.