MR. KEVIN L FISHER (NPI# 1174774947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174774947 |
| Entity Type | Individual |
| Full Name | MR. KEVIN L FISHER |
| Practice Address |
3550 Se Woodward St Portland OR 97202-1552 |
| Mailing Address |
5519 Sw Multnomah Blvd Portland OR 97219-3269 |
| Practice Telephone | 5035178663 |
| Mailing Telephone | 5038968696 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144570706 | Kevin Fisher | Psychologist | 320 Main St Ste B, Longmont, CO 80501-3563 | 2012-09-11 |
| 1386886687 | Kevin Edward Fisher | Pathology | 6621 Fannin St Ste Ab1195, Houston, TX 77030-2360 | 2009-04-01 |
| 1033722335 | Kevin Fisher | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1043620313 | Kevin Fisher | Pharmacist | 5800 Gull Rd, Kalamazoo, MI 49048-1021 | 2014-05-07 |
| 1174653364 | Kevin J Fisher | Chiropractor | 25 E Arrellaga St, Santa Barbara, CA 93101-2501 | 2007-03-06 |
| 1831150580 | Kevin Todd Fisher | Surgery | 2448 E 81st St, Suite 1100, Tulsa, OK 74137-4250 | 2006-03-31 |
| 1154311942 | Kevin Michael Fisher | Dentist | 201 5th Ave W, Springfield, TN 37172-2415 | 2005-10-24 |
| 1073505244 | Kevin Andrew Fisher | Radiology | 2500 W 12th St, Erie, PA 16505-4508 | 2005-08-16 |
| Street Address |
3550 SE WOODWARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295899649 | Jamie Vandergon | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2006-12-20 |
| 1235426404 | Colleen Michelle Conklin | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-07-07 |
| 1669766689 | Seth C Cordell | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-06-07 |
| 1366735326 | Megan Ann Andersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-05-24 |
| 1134410046 | Cindy L Petersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1265723191 | Christopher Laurence Anderson | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1588962732 | Ivana Micanovic | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-11 |
| 1457659781 | Christopher Pate | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-10 |
| 1518265933 | Jay N Cacka | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-09 |
| 1740582295 | Jennifer Joy Loop | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| Find all providers in PORTLAND | ||||
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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.