KELLI CORDOVA (NPI# 1073797023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073797023 |
| Entity Type | Individual |
| Full Name | KELLI CORDOVA |
| Credential | RN |
| Practice Address |
5281 Nw Wickiup Way Portland OR 97229-7160 |
| Practice Telephone | 5034300625 |
| Mailing Telephone | 5034300625 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
OR | Nursing Service Providers |
| Street Address |
5281 NW WICKIUP WAY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-7160 |
| 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 Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879502 | Julie Walko | Registered Nurse | 9341 N Pier Park Pl, Portland, OR 97203-1016 | 2018-01-11 |
| 1114165503 | Paula Jean Prince | Registered Nurse | 2242 Ne 21st Ave, Portland, OR 97212 | 2009-01-23 |
| 1962606095 | Scott Jeffrey Finn | Registered Nurse | 731 Sw King Ave Apt 5, Portland, OR 97205-1410 | 2007-06-13 |
| 1740328350 | Donald Wayne Fontenot | Registered Nurse | 2230 Se Oak St, Portland, OR 97214-1636 | 2007-02-03 |
| 1962400374 | Sharon Barbara Knapp | Registered Nurse | 16126 Se Happy Valley Town Center Dr, Suite 200, Portland, OR 97086-4256 | 2005-07-09 |
| 1134730088 | Giordan Dolan-umipig | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-08-13 |
| 1669081766 | Christopher Stan Lennard | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-07-24 |
| 1932727807 | Kirsten Keiko Penland Davis | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-07-08 |
| 1255958583 | Nathaniel Furnanz | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-07-02 |
| 1285251637 | Katherine Brianna Bloodgood | Registered Nurse | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2020-07-01 |
| 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.