KAIWI RUTH VALENTINE MURDOCK


Address: 1913 Meade St, North Bend, OR 97459-3432
Phone: 5414795901

KAIWI RUTH VALENTINE MURDOCK (NPI# 1134657638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134657638
Entity Type Individual
Full Name KAIWI RUTH VALENTINE MURDOCK
Credential CPSS
Practice Address 1913 Meade St
North Bend
OR 97459-3432
Mailing Address 715 Sw Ramsey, Avenue
Grants Pass
OR 97527
Practice Telephone 5414795901
Mailing Telephone 5414795901
Enumeration Date 2017-05-27
Last Update Date 2017-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist OR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS BLUE SHIELD R58765252 01

Office Location

Street Address 1913 MEADE ST
City NORTH BEND
State OR
Zip Code 97459-3432

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710297619 Laura M Adams Counselor 1913 Meade St, North Bend, OR 97459-3432 2010-10-14
1740768720 Aaron Timothy Williams Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2018-08-01
1427535848 Sebastian Scott Counselor 1913 Meade St, North Bend, OR 97459-3432 2018-07-27
1619463866 Rebecca Sue Unruh Counselor 1913 Meade St, North Bend, OR 97459-3432 2018-07-10
1689160830 Michael John Slaska Counselor 1913 Meade St, North Bend, OR 97459-3432 2018-07-10
1154813178 Kevin Leonard Gibson Counselor 1913 Meade St, North Bend, OR 97459-3432 2018-06-05
1710485313 Barbara Webster Counselor 1913 Meade St, North Bend, OR 97459-3432 2018-01-29
1013422013 Max Michael Murphy Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2017-12-12
1811401151 Rebecca White Counselor 1913 Meade St, North Bend, OR 97459-3432 2017-11-23
1619487204 Cynthia Ramirez Counselor 1913 Meade St, North Bend, OR 97459-3432 2017-10-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568002749 Ya-chi Claire Chang Nurse Practitioner 1229 1890 Waite St #1, North Bend, OR 97459 2020-01-15
1629573977 Heather M Coates Counselor 400 Virginia Ave Ste 100, North Bend, OR 97459 2018-03-28
1205257219 Melissa Sperry Health Educator 510 Lockhart Street, North Bend, OR 97459 2013-12-17
1265862627 Elizabeth Sylvester Counselor 1592 Monroe Street, North Bend, OR 97459 2013-11-22
1124370291 Brian Noble Thompson Pharmacist 3411 Broadway St., North Bend, OR 97459 2012-10-12
1295081230 Walgreen Co Durable Medical Equipment & Medical Supplies 3411 Broadway St, North Bend, OR 97459 2012-07-27
1366728370 Melissa Jean Kovach Occupational Therapy Assistant 3959 Sheridan Ave., North Bend, OR 97459 2011-10-24
1295045052 Mary Kay Weikel Massage Therapist 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 2010-10-14
1902080013 Anthony Eugene Baldacci Registered Nurse 1836 Meade Street, North Bend, OR 97459 2007-12-26
1952595340 Inland Point Senior Estates Jv LLC Clinic/Center 2265 Inland Drive, North Bend, OR 97459 2007-08-29
Find all providers in zip 97459

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326600230 Olivia Funk Peer Specialist 1960 Sherman Ave, North Bend, OR 97459-3420 2019-07-01
1740768720 Aaron Timothy Williams Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2018-08-01
1558878371 Lashaunia Ebony Pross Peer Specialist 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 2018-01-02
1972010874 Shelly Jean Dubisar Peer Specialist 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 2018-01-02
1013422013 Max Michael Murphy Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2017-12-12
1043723273 Penny Peters Peer Specialist 1975 Mcpherson, Ste 2, North Bend, OR 97459 2017-11-09
1942725270 Jamella Ann Weeks Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2017-08-08
1750817193 Tianna Finn Peer Specialist 1913 Meade Street, North Bend, OR 97459 2017-05-04
1528517281 Paige Loreley Wethington Peer Specialist 1913 Meade St, North Bend, OR 97459-3432 2016-09-22
1518319805 Heather Lynn Hernandez Peer Specialist 1975 Mcpherson St Ste 2, North Bend, OR 97459-3482 2016-07-11
Find all providers in NORTH BEND

Competitor

Search similar providers

City NORTH BEND
Zip Code 97459

Improve Information

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Dataset Information

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.

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