KELLY TERESA FISHER (NPI# 1093036808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093036808 |
| Entity Type | Individual |
| Full Name | KELLY TERESA FISHER |
| Credential | MSW |
| Practice Address |
13317 Se Powell Blvd Portland OR 97236-3335 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5037609606 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793068 | Kelly Marie Fisher | Social Worker | 5704 Curnie Dr, Hamilton, OH 45013-9067 | 2020-09-03 |
| 1457612970 | Kelly T Fisher | Counselor | 216 Trojan Way, 216 Trojan Way, Henderson, NV 89074-0125 | 2012-05-31 |
| 1770046005 | Kelly Ann Fisher | Nurse Practitioner | 7950 Kipling St Ste 201, Arvada, CO 80005-3926 | 2019-04-12 |
| 1710443668 | Kelly Rose Fisher | Behavior Technician | 5302 S Florida Ave Ste 202, Lakeland, FL 33813-4910 | 2019-02-15 |
| 1295236891 | Kelly Fisher | Speech-Language Pathologist | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-02-28 |
| 1487184545 | Kelly Fisher | Speech-Language Pathologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2017-06-12 |
| 1740630466 | Kelly Fisher | Optometrist | 1673 Market St, Weston, FL 33326-3663 | 2016-06-14 |
| 1700258803 | Kelly Fisher | Student in an Organized Health Care Education/Training Program | 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 | 2015-10-28 |
| 1457587008 | Kelly K Fisher | Physician Assistant | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2009-06-09 |
| 1427293356 | Kelly C Fisher | Speech-Language Pathologist | 301 N Clark St, Cape Girardeau, MO 63701-5105 | 2008-12-05 |
| Street Address |
13317 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396857538 | Mark Scott Soine | Counselor | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2006-08-31 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841897105 | David Brian Prescott | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-08 |
| 1811501505 | Genalyn Inovejas Moore | Case Manager/Care Coordinator | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-09-01 |
| 1245844935 | Jacquelyn Boliba Soule | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-09-01 |
| 1407468085 | Elijah James Boone | Counselor | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-08-17 |
| 1386261055 | Maura Jean Ores Phillips | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-06-29 |
| 1649896051 | Cynthia E Ochoa Cavillo | Case Manager/Care Coordinator | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-06-22 |
| 1457976599 | Nicole Dawn Schmidlin | Case Manager/Care Coordinator | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-06-15 |
| 1790308302 | Alexander L Syum | Case Manager/Care Coordinator | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| 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.