GABRIEL SHANNON (NPI# 1063644151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063644151 |
| Entity Type | Individual |
| Full Name | GABRIEL SHANNON |
| Credential | LPC |
| Practice Address |
605 Se Cesar E Chavez Blvd Portland OR 97214-3216 |
| Practice Telephone | 5032317480 |
| Mailing Telephone | 5032317480 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2013-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C3300 | OR | Behavioral Health & Social Service Providers |
| Street Address |
605 SE CESAR E CHAVEZ BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326056433 | Lutheran Community Services Northwest | Clinic/Center | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2006-08-04 |
| 1053911511 | Peter Emedi Mmunga | Peer Specialist | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-26 |
| 1619574985 | Zoe Ottemiller | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-08 |
| 1861099137 | Hira Bukhari | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-08 |
| 1306469689 | Sarah Mustafa | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-05-21 |
| 1649893926 | Zahro Abukar | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-05-21 |
| 1770103558 | Alisa F O'connor | Case Manager/Care Coordinator | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-04-21 |
| 1619528312 | Annie Petrossian | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-24 |
| 1174174023 | Anthony (tony) Carr Lash | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-23 |
| 1639720758 | Sonya Zimina | Art Therapist | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| 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.