THE NATIVE AMERICAN REHABILITATION ASSOC OF THE NORTHWEST INC. (NPI# 1053691972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053691972 |
| Entity Type | Organization |
| Organization Name | THE NATIVE AMERICAN REHABILITATION ASSOC OF THE NORTHWEST INC. |
| Other Organization Name | NARA NW-WELLNESS CENTER |
| Practice Address |
12360 E Burnside St Portland OR 97233 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205 |
| Practice Telephone | 9712794800 |
| Practice Fax Number | 9712792051 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | MS. SARAH AYERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9713862278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 126370 | 05 |
| Other Name | Type Code |
|---|---|
| NARA NW-Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747761 | The Native American Rehabilitation Assoc of The Northwest Inc. | Clinic/Center | 620 Ne 2nd St, Gresham, OR 97030-7514 | 2017-01-31 |
| Street Address |
12360 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856188 | Artice E Geary | Social Worker | 12360 E Burnside St, Portland, OR 97233-1042 | 2005-10-25 |
| 1487262937 | Erica P Woody | Counselor | 12360 E Burnside St, Portland, OR 97233-1042 | 2020-07-21 |
| 1609416155 | Cara A Koch | Counselor | 12360 E Burnside St, Portland, OR 97233-1042 | 2020-01-13 |
| 1245878552 | Janelle M Bombara | Dietitian, Registered | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-12-17 |
| 1932756707 | Holly A Fay | Registered Nurse | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-08-26 |
| 1013570548 | Christa R Andreasen | Registered Nurse | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-04-19 |
| 1679046965 | Emerson N Begay | Pharmacy Technician | 12360 E Burnside St, Portland, OR 97233-1042 | 2019-01-09 |
| 1215429394 | Phillip C Lacy | Pharmacy Technician | 12360 E Burnside St, Portland, OR 97233-1042 | 2018-06-04 |
| 1992205223 | Sarah E Bruno | Social Worker | 12360 E Burnside St, Portland, OR 97233-1042 | 2018-02-13 |
| 1093233868 | Sarah S Rivera | Peer Specialist | 12360 E Burnside St, Portland, OR 97233-1042 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| 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.