NATIVE AMERICAN REHABILITATION ASSOCIATION, INC. (NPI# 1134343213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134343213 |
| Entity Type | Organization |
| Organization Name | NATIVE AMERICAN REHABILITATION ASSOCIATION, INC. |
| Other Organization Name | NARA NW |
| Practice Address |
1776 Sw Madison St Portland OR 97205 |
| Practice Telephone | 9713862278 |
| Practice Fax Number | 5036212235 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-07-20 |
| Authorized Official Name | MS. SARAH AYERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9713862278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PTAN (PART B) | R0000WCQLV | 01 |
| OR | 126370 | 05 |
| Other Name | Type Code |
|---|---|
| NARA NW | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007093 | Native American Rehabilitation Association, Inc. | Clinic/Center | 17645 Nw St Helens Rd, Portland, OR 97231 | 2005-10-20 |
| 1831587856 | Native American Rehabilitation Association, Inc. | Pharmacy | 12360 E Burnside St, Portland, OR 97233-1042 | 2014-12-29 |
| 1891006979 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1310 Sw 17th Ave, Portland, OR 97201 | 2010-06-23 |
| 1619106945 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1438 Se Division St, Portland, OR 97202 | 2009-07-08 |
| 1336274372 | Native American Rehabilitation Association, Inc. | Pharmacy | 15 N Morris St, Portland, OR 97227-1541 | 2007-02-22 |
| 1851380828 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1776 Sw Madison St, Portland, OR 97205 | 2005-10-20 |
| 1396734364 | Native American Rehabilitation Association, Inc. | Clinic/Center | 15 N Morris St, Portland, OR 97227 | 2005-10-20 |
| Street Address |
1776 SW MADISON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219114 | Susan Sherwood | Social Worker | 1776 Sw Madison St, Portland, OR 97205-1715 | 2005-10-20 |
| 1598296204 | Kristin L Gunn | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2017-03-23 |
| 1659814143 | Lena T Monteverdi | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2016-12-01 |
| 1154770642 | Hailey M Bailey | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2016-06-06 |
| 1447606314 | Felicea Mora | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2016-05-10 |
| 1417302969 | Roger Croteau | Registered Nurse | 1776 Sw Madison St, Portland, OR 97205-1715 | 2016-05-03 |
| 1841645520 | Zachary L Ash | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2016-04-29 |
| 1659744001 | Pearl Vanessa Rose Esquivel | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2015-11-06 |
| 1164806238 | Heather Pistory | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2015-07-17 |
| 1265812465 | Autumn Lillie | Case Manager/Care Coordinator | 1776 Sw Madison St, Portland, OR 97205-1715 | 2015-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| 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.