MRS. ILIANA HENRIQUEZ (NPI# 1053797167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053797167 |
| Entity Type | Individual |
| Full Name | MRS. ILIANA HENRIQUEZ |
| Credential | BSW |
| Practice Address |
3500 Ne Martin Luther King Blvd Suite 200 Portland OR 97212 |
| Mailing Address |
586 N 20th Pl Cornelius OR 97113-7433 |
| Practice Telephone | 5033278205 |
| Mailing Telephone | 9713442702 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1694936 | 05 |
| Street Address |
3500 NE MARTIN LUTHER KING BLVD SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| 1235527482 | Sierra Nicole Abate | Acupuncturist | 2808 Ne Mlk Blvd, Suite C, Portland, OR 97212 | 2014-12-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992102024 | Wuaneesa Brown | Social Worker | 1538 Se 122nd Ave Apt 19, Portland, OR 97233-1265 | 2014-12-04 |
| 1578985149 | Ruth Murphy | Social Worker | 14513 Se Stark St # 2155, Portland, OR 97233-2155 | 2014-01-15 |
| 1497360085 | Jason Andrew Wargin | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-10 |
| 1467003970 | David Patrick Zahn | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-09-25 |
| 1326695891 | Hannah M Shifflett-kohler | Social Worker | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2019-08-20 |
| 1336654771 | Emily Zanke | Social Worker | 1715 Se 32nd Pl, Portland, OR 97214-5016 | 2017-12-07 |
| 1902319825 | Shelby E Jutras | Social Worker | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2017-11-14 |
| 1356851331 | Julianne Overby | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2017-10-04 |
| 1932649969 | Natalie Williamsen | Social Worker | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2017-02-23 |
| 1114464773 | Mackenzie Howell-holland | Social Worker | 14513 Se Stark St, Portland, OR 97233-2155 | 2017-01-20 |
| 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.