COREY DEAN ANDERSON


Address: 5120 Se 118th Ave, Portland, OR 97266-3250
Phone: 5037623431

COREY DEAN ANDERSON (NPI# 1144598822) 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) 1144598822
Entity Type Individual
Full Name COREY DEAN ANDERSON
Practice Address 5120 Se 118th Ave
Portland
OR 97266-3250
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5037623431
Mailing Telephone 5032380769
Enumeration Date 2011-12-08
Last Update Date 2014-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 372600000X Adult Companion Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 171M00000X 05

Other Providers COREY ANDERSON

NPI Name Taxonomy Address Enumeration
1558731281 Corey Anderson Pharmacist 3625 Williams Blvd., Kenner, LA 70065 2015-10-07
1518254382 Corey Anderson Dentist 1023 Pittsburgh Rd Ste 205, Uniontown, PA 15401-8408 2011-06-30
1083213169 Corey Marie Anderson Counselor 10427 Detroit Ave, Cleveland, OH 44102-1645 2020-10-20
1649787755 Corey Benjamin Anderson Physician Assistant 547 N Justice St, Hendersonvlle, NC 28739-4251 2018-01-10
1891129839 Corey Demar Anderson Nurse Anesthetist, Certified Registered 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 2013-08-27
1114278819 Corey Darryl Anderson Clinical Neuropsychologist 2801 N Gantenbein Ave, Suite 2225, Portland, OR 97227-1623 2012-09-21
1194093161 Corey Lee Anderson Physician Assistant 7220 S Highway 16, Rapid City, SD 57702-8708 2011-12-06
1114245297 Corey Robert Anderson Anesthesiology 523 N 3rd St, Brainerd, MN 56401-3054 2010-05-13
1588862114 Corey D Anderson Anesthesiology 1001 Bellefontaine Ave, Lima, OH 45804-2800 2007-07-05
1265509483 Corey Lee Anderson Anesthesiology 1304 Oak St, Melbourne, FL 32901-3111 2006-11-30

Office Location

Street Address 5120 SE 118TH AVE
City PORTLAND
State OR
Zip Code 97266-3250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386798833 Donald Joseph Hice Counselor 5120 Se 118th Ave, Portland, OR 97266-3250 2007-01-22
1669099768 Premier Living Center Inc. Assisted Living Facility 5120 Se 118th Ave, Portland, OR 97266-3250 2020-07-06
1063050763 Jeffrey T Holm Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2019-12-13
1609111590 Katrina Eerkes Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2012-12-03
1780959593 Jacqueline V Swofford Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2012-03-12
1902051139 Michelle Martin Adult Companion 5120 Se 118th Ave, Portland, OR 97266-3250 2008-12-02
1447415336 Lawrence Lindstrom Ruhf Counselor 5120 Se 118th Ave, Portland, OR 97266-3250 2008-07-21
1124298724 Teresa Barker Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2008-03-10
1043493737 Jacob White Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2007-12-17
1598895708 Jennifer Ashley Phillips IIi Case Manager/Care Coordinator 5120 Se 118th Ave, Portland, OR 97266-3250 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavioral Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
Find all providers in zip 97266

Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184271462 Taylor Salter Adult Companion 7018 N Armour St, Portland, OR 97203-6132 2019-08-21
1235785429 Lonzall Tatum Adult Companion 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 2019-08-13
1205303021 Imani Anderson Adult Companion 434 Ne Roselawn St, Portland, OR 97211-3826 2018-10-30
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1104364900 Rosanna Hunnicutt Adult Companion 2601 Se 160th Ave, Portland, OR 97236-2092 2017-02-01
1043755028 Raolat Ajibade IIi Adult Companion 847 N.e 19thave, Portland, OR 97232 2016-12-29
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1255789731 Sherri Schroeder Adult Companion 847 Ne 19th Ave., Suite100, Portland, OR 97232 2016-05-25
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1609241371 Denise Broom Adult Companion 25 Ne Stafford St, Portland, OR 97211-2241 2015-12-07
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97266

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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