MARRISSA GOTTLOB (NPI# 1134480593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134480593 |
| Entity Type | Individual |
| Full Name | MARRISSA GOTTLOB |
| Practice Address |
421 Sw Oak St Portland OR 97204-1817 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5039883999 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
421 SW OAK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669410 | Agnes White | Acupuncturist | 421 Sw Oak St, Ste. 210, Portland, OR 97204-1817 | 2006-05-24 |
| 1548762099 | Tamera Wilkins | Case Manager/Care Coordinator | 421 Sw Oak St, Suite 250, Portland, OR 97204-1810 | 2018-03-01 |
| 1023532157 | Darian Finley-garcia | Counselor | 421 Sw Oak St, Portland, OR 97204 | 2017-07-31 |
| 1588109201 | Sharice Burnett | Social Worker | 421 Sw Oak St, Suite 520, Portland, OR 97204-1817 | 2017-01-04 |
| 1487198313 | Morea Elaine Lloyd | Peer Specialist | 421 Sw Oak St, Suite 520, Portland, OR 97204-1817 | 2016-12-12 |
| 1730639634 | Krystal Lum | Counselor | 421 Sw Oak St, Suite 520, Portland, OR 97204-1817 | 2016-10-04 |
| 1083161525 | Zakiya Williamson | Student in an Organized Health Care Education/Training Program | 421 Sw Oak St, Suite 520, Portland, OR 97204-1810 | 2016-09-01 |
| 1144683327 | Tosha Bock | Case Manager/Care Coordinator | 421 Sw Oak St, Portland, OR 97204-1817 | 2016-04-04 |
| 1669847026 | Megan Fernandez | Peer Specialist | 421 Sw Oak St, Portland, OR 97204-1817 | 2015-12-09 |
| 1679948210 | Nancy Lynn Sussman | Counselor | 421 Sw Oak St, Portland, OR 97204-1817 | 2015-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 225XM0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Mental Health |
| Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Mental Health Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606797 | Amanda Kleist | Occupational Therapist | 1390 Se 122nd Ave Ste Ue, Portland, OR 97233-1203 | 2020-10-14 |
| 1124379078 | Dacia Davison | Occupational Therapist | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453701 | Rebecca Lee Beckley | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2020-06-30 |
| 1689227704 | Kylie Shay Mcdermott | Occupational Therapist | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-07-17 |
| 1285135830 | Melanie Sue Wheeler | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2018-02-27 |
| 1770904203 | Halley Read | Occupational Therapist | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2013-12-31 |
| 1629399621 | Cora Faith | Occupational Therapist | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2010-06-14 |
| 1821325978 | Sarah Elizabeth Foidel | Occupational Therapist | 1809 Maple St, Forest Grove, OR 97116-1939 | 2009-11-11 |
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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.