VIRGINIA LEE HARRIS (NPI# 1043247059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043247059 |
| Entity Type | Individual |
| Full Name | VIRGINIA LEE HARRIS |
| Credential | NP |
| Practice Address |
5100 Sw Macadam Ave Suite 200 Portland OR 97239-6102 |
| Practice Telephone | 9712025500 |
| Practice Fax Number | 9712025555 |
| Mailing Telephone | 9712025500 |
| Mailing Fax Number | 9712025555 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
200550028NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BLUE CROSS/SHIELD PIN | 067593032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168198 | Virginia Mary Harris | Rehabilitation Practitioner | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-01 |
| 1831215839 | Virginia Anne Harris | Marriage & Family Therapist | 5150 Sunrise Blvd Ste B6, Fair Oaks, CA 95628-4960 | 2007-03-21 |
| 1225121643 | Virginia Lou Harris | Licensed Practical Nurse | 226 Fort Pleasant Ave, Springfield, MA 01108-1523 | 2006-09-30 |
| 1992236814 | Virginia Harris | Counselor | 4800 College St Se, Lacey, WA 98503-4389 | 2017-03-22 |
| 1821422114 | Virginia T Harris | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2013-08-22 |
| 1003176595 | Virginia Sydness Harris | Religious Nonmedical Practitioner | 40 Grove St, Suite 150, Wellesley, MA 02482-7702 | 2012-05-18 |
| 1821317082 | Virginia Harris | Social Worker | 19401 Northline Rd, Southgate, MI 48195-2277 | 2010-05-26 |
| 1396831293 | Virginia Catherine Harris | Counselor | 20 Stoneridge Dr, Suite 202, Waynesboro, VA 22980-6579 | 2006-10-05 |
| Street Address |
5100 SW MACADAM AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324949 | George Goodstein | Internal Medicine | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2006-02-07 |
| 1700307386 | Kelsey Allrich | Counselor | 5100 Sw Macadam Ave, Portland, OR 97239-6102 | 2017-07-04 |
| 1518498567 | Amber Sirstad | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2017-03-22 |
| 1558801019 | Trystan Rose | Counselor | 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 | 2017-03-03 |
| 1891246070 | Lines for Life | Community/Behavioral Health | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-10-22 |
| 1952856585 | Housecall Providers, Inc | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2016-08-24 |
| 1700239605 | Lisa Stiller | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-07-15 |
| 1740636091 | Theresa Burks | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-05-05 |
| 1740643253 | Michael Schwarting | Counselor | 5100 Sw Macadam Ave, Ste 400, Portland, OR 97239-6102 | 2016-04-01 |
| 1528420205 | Justin Li | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
| 1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
| 1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
| 1154809903 | Molly Christine Davis | Nurse Practitioner | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2018-08-03 |
| 1992115851 | Lizzie Colon | Nurse Practitioner | 5000 N Willamette Blvd, Portland, OR 97203 | 2014-04-30 |
| 1376885137 | Aimee Finau Cama | Nurse Practitioner | 6410 Ne Halsey St Ste 300, Portland, OR 97213 | 2013-03-20 |
| 1235408048 | Michael Dawson | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2011-12-22 |
| 1720304843 | Amy M Long | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2010-04-14 |
| 1255447447 | Eileen Gilmartin | Nurse Practitioner | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-08-22 |
| 1629010574 | Gayle Melinda Miller | Nurse Practitioner | 4610 Se Belmont St, Suite 60, Portland, OR 97215-1752 | 2006-06-12 |
| Find all providers in PORTLAND | ||||
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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.