PACNORTHWEST COUNSELING (NPI# 1174169890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174169890 |
Entity Type | Organization |
Organization Name | PACNORTHWEST COUNSELING |
Practice Address |
6018 Se Stark St Portland OR 97215-1990 |
Mailing Address |
Po Box 1677 Fairview OR 97024-1677 |
Practice Telephone | 5037305760 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Authorized Official Name | COLLIN DAVIDSON (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Telephone | 5037305760 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | PACNORTHWEST COUNSELING | 6018 Se Stark St, Portland, OR 97215 |
Street Address |
6018 SE STARK ST |
City | PORTLAND |
State | OR |
Zip Code | 97215-1990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003908120 | Kimberly Susan Shotz | Acupuncturist | 6018 Se Stark St, Ste 103, Portland, OR 97215-1990 | 2006-09-28 |
1619520566 | Renee Barnett | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-07-19 |
1700365541 | Elizabeth Lenkeit Hoke | Marriage & Family Therapist | 6018 Se Stark St, Portland, OR 97215-1990 | 2018-08-13 |
1316484355 | Miho Hatanaka | Dietitian, Registered | 6018 Se Stark St, Portland, OR 97215 | 2017-01-29 |
1770956484 | Charlotte Elisabeth Kahler | Massage Therapist | 6018 Se Stark St, Suite 103, Portland, OR 97215-1990 | 2015-11-03 |
1518335280 | Amia Huang | Psychologist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-10 |
1710355755 | Kimberly M Crow | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-08 |
1285016451 | Tabor View Health and Wellness | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-06-24 |
1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
1003206095 | Aaron M Guzik | Chiropractor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
Find all providers in zip 97215 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
1598228579 | Christensen Counseling, LLC | Clinic/Center | 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 | 2019-04-08 |
1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
1427545961 | Value Creation Counseling | Clinic/Center | 2028 Se Marion St Apt 11, Portland, OR 97202-7365 | 2018-04-19 |
1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
1528420692 | Connections First, LLC | Clinic/Center | 2250 Nw Flanders St Ste 201, Portland, OR 97210-5410 | 2016-03-28 |
1194104026 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Drive, Portland, TX 78374-2213 | 2015-05-26 |
1841618253 | Sellwood Counseling Services | Clinic/Center | 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 | 2014-04-02 |
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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.