DR. KEVIN BARRY MCGOVERN


Address: 13831 Nw Cornell Rd, Suite 103, Portland, OR 97229-5485
Phone: 5036446600

DR. KEVIN BARRY MCGOVERN (NPI# 1043439532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043439532
Entity Type Individual
Full Name DR. KEVIN BARRY MCGOVERN
Credential PH.D.
Practice Address 13831 Nw Cornell Rd
Suite 103
Portland
OR 97229-5485
Practice Telephone 5036446600
Practice Fax Number 5036433798
Mailing Telephone 5036446600
Mailing Fax Number 5036433798
Enumeration Date 2007-04-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
278 OR Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
278 OR Behavioral Health & Social Service Providers
X 103TF0200X Psychologist
Specialization: Forensic
278 OR Behavioral Health & Social Service Providers

Other Providers KEVIN MCGOVERN

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1750508016 Kevin J Mcgovern Physical Therapist Perfect Motion Sports Therapy, 485 Great Road, Acton, MA 01720 2007-04-19
1245728971 Kevin Patrick Mcgovern General Practice General Surgery Residency Program, 3551 Roger Brooke Drive, Jbsa, Ft. Sam Houston, TX 78234 2018-04-27
1023254315 Kevin F Mcgovern Dentist 1834 Dixwell Ave, Hamden, CT 06514-3106 2008-12-17
1245368117 Kevin Mcgovern Psychologist 2534 Steinway St, Astoria, NY 11103-3702 2007-03-01
1891861480 Kevin Michael Mcgovern Physical Therapist 4351 Northview Drive, Bowie, MD 20716-2602 2006-11-27
1023068186 Kevin E Mcgovern Specialist 3570 Saint Johns Ln, Ellicott City, MD 21042-4020 2006-05-11

Office Location

Street Address 13831 NW CORNELL RD
SUITE 103
City PORTLAND
State OR
Zip Code 97229-5485

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255392502 Faith E Winters Counselor 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-5485 2006-03-28
1952889735 Viktoriya Krughkov Dental Hygienist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2018-08-02
1275010514 Andrea Elizabeth Lea Collins Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2018-07-19
1487167565 Brian Gia Son Phan Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2017-11-10
1801271770 Diane Henriot Dentist 13831 Nw Cornell Rd, Suite C, Portland, OR 97229-5485 2015-07-21
1679963433 Anna Nguyen Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2015-02-02
1457667842 Alexandra C. De Millo Terrazzani Dentist 13831 Nw Cornell Rd, Portland, OR 97229-5485 2010-08-24
1184879496 Patricia Jane Cook Marriage & Family Therapist 13831 Nw Cornell Rd, Suite 104, Portland, OR 97229-2286 2008-12-01
1679727929 Emilia C Adam Dentist 13831 Nw Cornell Rd, C, Portland, OR 97229-5485 2008-11-13
1255596904 Debra Cox Massage Therapist 13831 Nw Cornell Rd, Suite 102, Portland, OR 97229-5485 2008-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1669026134 Alexandra Elizabeth Lodwig Speech-Language Pathologist 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 2019-08-01
1003316043 Jenny Lavonne Thom Counselor 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 2018-02-16
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1568988913 Hannah Hendrix Klingelheber Speech-Language Pathologist 15605 Nw Ryegrass St., Portland, OR 97229 2017-08-17
1548791213 Adeline Mitchell Registered Nurse 14600 Sw Cornell Rd., Portland, OR 97229 2017-03-24
1538610670 Crystal Graves Peer Specialist 14600 Nw Cornell, Portland, OR 97229 2016-10-24
1639533185 Evelin James Dental Hygienist 5879 Nw Lark Meadow Ter, Portland, OR 97229 2016-04-11
Find all providers in zip 97229

Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740616325 Kathleen Gregorich Hoffman Psychologist 3245 Nw Thurman St, Portland, OR 97210-1224 2013-09-16
1558708461 Anthony Michael Duncan Psychologist 2236 Se Belmont St, Portland, OR 97214-2817 2013-05-31
1083998611 Kaufman Psychological Services Psychologist 1321 Washington Ave Ste 102, Portland, ME 04103-3636 2011-09-30
1174813539 Robert W Mclellarn, Phd Psychologist 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 2011-04-19
1346574449 Jerusha Beth Detweiler-bedell Psychologist 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 2009-09-23
1386845048 Morris Tiktin Psychologist 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 2007-05-30
1235341629 Muriel D. Lezak Psychologist 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 2007-05-05
1952528952 Melisa L. Finch Psychologist 10201 Se Main St Ste 10, Portland, OR 97216-2937 2007-04-19
1992712103 Maryann J Carroll Psychologist 25 Bedell St, Portland, ME 04103-1705 2006-08-01
1588642953 Joseph Peter Gretsch Psychologist 818 Sw 3rd Ave, #148, Portland, OR 97204-2405 2006-01-05
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97229

Improve Information

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Dataset Information

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.

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