LINK IAM LAITHREACH (NPI# 1174050512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174050512 |
| Entity Type | Individual |
| Full Name | LINK IAM LAITHREACH |
| Credential | RN |
| Practice Address |
4101 Ne Division St Gresham OR 97030-4617 |
| Mailing Address |
8765 Sw Cortez Ct Beaverton OR 97008-7285 |
| Practice Telephone | 5036666575 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 201406614RN | OR | Nursing Service Providers |
| Street Address |
4101 NE DIVISION ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041682 | Hiren T Rana | Psychiatry & Neurology | 4101 Ne Division St, Gresham, OR 97030-4617 | 2005-05-31 |
| 1356941553 | Charlene Marie Zaharakis | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2020-10-27 |
| 1225677248 | Dmitriy Flato | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-12-23 |
| 1356988158 | James Calcagno | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-30 |
| 1417593138 | Jennifer Trottier | Specialist/Technologist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-19 |
| 1902441959 | Michael Joseph Myers | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1669017513 | Shaylene Tamara Waggoner | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1861950024 | Bridget Mary Murray | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-03-06 |
| 1124585849 | Natalia K Burgess | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-02-28 |
| 1083181093 | Lori Janeen Rich | Peer Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913950 | Lelisa Hika | Registered Nurse | 2700 Ne 17th St, Gresham, OR 97030-4406 | 2020-02-06 |
| 1932619590 | Courtney Szper | Registered Nurse | 4101 Ne Division St Fl 1, Gresham, OR 97030-4617 | 2017-10-09 |
| 1689108698 | Shelley June Williams | Registered Nurse | 4281 Sw Emerald Ave, Gresham, OR 97080-8630 | 2017-04-17 |
| 1871034371 | Cathryn Hansen | Registered Nurse | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-03-16 |
| 1326456831 | Chantelle Marie Davidson | Registered Nurse | 4101 Ne Division, Gresham, OR 97030 | 2014-07-28 |
| 1932522166 | Deffo Mebrat | Registered Nurse | 135 Nw Linneman Ave, Gresham, OR 97030-6248 | 2014-01-23 |
| 1710270673 | Lisa A Eisenbraun-long | Registered Nurse | 1312 E Powell Blvd, Gresham, OR 97030-8003 | 2011-05-25 |
| 1922243948 | Larisa V Katerenchuk | Registered Nurse | 417 Nw Battaglia Ave, Gresham, OR 97030-5260 | 2008-12-04 |
| 1992975262 | William Delplato | Registered Nurse | 1753 Sw Phyllis Ave, Gresham, OR 97080-8398 | 2008-03-03 |
| 1225677248 | Dmitriy Flato | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-12-23 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on LINK IAM LAITHREACH.
| 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.