CASSANDRA MINNIEWEATHER (NPI# 1124537428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124537428 |
| Entity Type | Individual |
| Full Name | CASSANDRA MINNIEWEATHER |
| Credential | PSS |
| Practice Address |
33 Nw Broadway Portland OR 97209-3580 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032287134 |
| Practice Fax Number | 5035015679 |
| Mailing Telephone | 5035015641 |
| Mailing Fax Number | 5032417419 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
THW0912 | OR | Behavioral Health & Social Service Providers |
| Street Address |
33 NW BROADWAY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003981085 | Jeffrey M Moore | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2006-11-22 |
| 1811597685 | Victoria Leigh Burgess | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-10-29 |
| 1750995056 | Sarina Kate Herrick Benight | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-09-03 |
| 1386254043 | Kristen Marie Case | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-08-06 |
| 1558999664 | Jack Ezra Keegan | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-04-01 |
| 1740817402 | Malinda Christine Brown | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2020-03-24 |
| 1609419357 | Heather Ann Ackles | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-10-25 |
| 1225687932 | Mahnaz Alidoosti Dadras | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-05 |
| 1417505470 | Roy Mcgarvey Wheeler | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-09-03 |
| 1982250437 | Lisa Marie Newport | Peer Specialist | 33 Nw Broadway, Portland, OR 97209-3580 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.