JEREMY MICHAEL GOOD


Address: 1225 Ne 2nd Ave, Portland, OR 97232-2003
Phone: 5034134100

JEREMY MICHAEL GOOD (NPI# 1073078366) 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) 1073078366
Entity Type Individual
Full Name JEREMY MICHAEL GOOD
Credential PMHNP
Practice Address 1225 Ne 2nd Ave
Portland
OR 97232-2003
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5034134100
Enumeration Date 2019-01-31
Last Update Date 2020-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 201809282RN OR Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
202005741NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 Ne Mlk Blvd, Portland, OR 972322941 5032321099
847 Ne 19th Ave Ste 100, Portland, OR 972322684 5032380769

Other Providers JEREMY GOOD

NPI Name Taxonomy Address Enumeration
1669632253 Jeremy S Good Chiropractor 1599 West River St N, Elyria, OH 44035-2779 2008-06-17
1104196294 Jeremy Good Physician Assistant 302 W Hay St, Suite 200, Decatur, IL 62526-4167 2012-01-05

Office Location

Street Address 1225 NE 2ND AVE
City PORTLAND
State OR
Zip Code 97232-2003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497727903 Gregory Miller Psychiatry & Neurology 1225 Ne 2nd Ave, Portland, OR 97232-2003 2006-02-07
1104435809 Caleb Terence Hughes Counselor 1225 Ne 2nd Ave, Portland, OR 97232-2003 2020-07-28
1053806653 James Clark Trott Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232-2003 2018-06-26
1912410630 Valerie Spear Nurse Practitioner 1225 Ne 2nd Ave, Portland, OR 97232-2003 2017-11-16
1376074427 Angella Michelle King Cole Registered Nurse 1225 Ne 2nd Ave, Portland, OR 97232 2017-03-21
1245773225 Legacy Emanuel Hospital & Health Center Psychiatric Unit 1225 Ne 2nd Ave, Portland, OR 97232-2003 2016-11-23
1003367491 Legacy Emanuel Hospital & Health Center General Acute Care Hospital 1225 Ne 2nd Ave, Portland, OR 97232 2016-10-20
1083078265 Corey Elizabeth Watson Nurse Practitioner 1225 Ne 2nd Ave, Portland, OR 97232 2016-04-13
1043692676 Rodney Stuart Olin Nurse Practitioner 1225 Ne 2nd Ave, Unity Center, Portland, OR 97232-2003 2015-06-19
1538540711 James Koved Psychiatry & Neurology 1225 Ne 2nd Ave, Portland, OR 97232-2003 2015-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97232

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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