LISSA MILTON TREASURE (NPI# 1174098826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174098826 |
| Entity Type | Individual |
| Full Name | LISSA MILTON TREASURE |
| Practice Address |
149 S Main St Phoenix OR 97535-6631 |
| Mailing Address |
187 E Butler Ln Ashland OR 97520-9380 |
| Practice Telephone | 5415354133 |
| Practice Fax Number | 5415355458 |
| Mailing Telephone | 7607091001 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
149 S MAIN ST |
| City | PHOENIX |
| State | OR |
| Zip Code | 97535-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110023 | Zhawen Wahpepah | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-07-02 |
| 1871110304 | Melissa Chapman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-30 |
| 1679190565 | Sarah Grubbs | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1881211696 | Mario Guzman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1144847039 | Trinity Okzana Leonis | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2020-06-26 |
| 1386284685 | Alysse Lynette Kelly | Peer Specialist | 149 S Main St, Phoenix, OR 97535-6631 | 2020-01-14 |
| 1558905000 | Dirk William Stafford | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-28 |
| 1851934533 | Holly Ivie | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-24 |
| 1275176398 | Emily E Hinman | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-10-21 |
| 1225687668 | Mary Kate Regan | Counselor | 149 S Main St, Phoenix, OR 97535-6631 | 2019-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318577 | Brent M Gordon | Counselor | 5505 S Pacific Hwy, Phoenix, OR 97535 | 2016-03-16 |
| 1740649821 | Elizabeth Van Driel | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2016-02-17 |
| 1740611458 | William Allen Haden Jr. | Social Worker | 106 N. Rose Street, Phoenix, OR 97535 | 2013-12-05 |
| 1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
| 1992961239 | Stephen J Brummett | Counselor | 482 Elm St, Phoenix, OR 97535 | 2008-08-06 |
| 1568680577 | Christine Carolyn Robinson | Chiropractor | 721 N. Main St., Space A, Phoenix, OR 97535 | 2007-04-23 |
| 1982729539 | Daniel Jansen | Counselor | 215 N Rose St, Phoenix, OR 97535 | 2007-03-20 |
| 1770196016 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 106 N. Rose Street, Phoenix, OR 97535 | 2020-08-26 |
| 1760972160 | Jennifer L Burke | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2018-05-11 |
| 1124552872 | Desiree Thompson | Counselor | 149 N Main St, Phoenix, OR 97535 | 2017-04-19 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.