PROV HEALTH SYS-OR SHARED-SVS DIV (NPI# 1184918955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184918955 |
| Entity Type | Organization |
| Organization Name | PROV HEALTH SYS-OR SHARED-SVS DIV |
| Other Organization Name | PROVIDENCE HEALTH EDUCATION |
| Practice Address |
9340 Sw Barnes Rd Suite 200 Portland OR 97225-6623 |
| Practice Telephone | 5032165641 |
| Practice Fax Number | 5032162039 |
| Mailing Telephone | 5032165641 |
| Mailing Fax Number | 5032162039 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR - AMB SERVICES) |
| Authorized Official Telephone | 5038936863 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Health Education | Doing Business As Name - Organization |
| Street Address |
9340 SW BARNES RD SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562235 | Tracy L Shultz | Nurse Practitioner | 9340 Sw Barnes Rd, 202, Portland, OR 97225-6623 | 2005-10-17 |
| 1992254866 | Maria Pfeifer | Community Health Worker | 9340 Sw Barnes Rd, Suite 200, Portland, OR 97225-6623 | 2016-10-03 |
| 1275849994 | Joanna Kathleen Sullivan | Advanced Practice Midwife | 9340 Sw Barnes Rd, Suite 102, Portland, OR 97225-6623 | 2010-08-19 |
| 1235313354 | Lillian Young | Advanced Practice Midwife | 9340 Sw Barnes Rd, Suite 102, Portland, OR 97225-6623 | 2007-12-26 |
| 1518093491 | St Vincent Prenatal Clinic | Specialist | 9340 Sw Barnes Rd, Suite 102, Portland, OR 97225-6623 | 2007-02-26 |
| 1134290406 | Amber Lee Zietz | Midwife | 9340 Sw Barnes Rd, Suite 102, Portland, OR 97225-6623 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1639534969 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2015-12-31 |
| 1033518188 | Central City Concern | Clinic/Center | 727 W Burnside St, Portland, OR 97209-3514 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850500 | Opportunity Connections, Inc. | Clinic/Center | 1102 12th St, Hood River, OR 97031-1602 | 2020-08-03 |
| 1750827184 | Elizabeth Villagrana | Clinic/Center | 32753 E Delaney St, Coburg, OR 97408-9265 | 2017-01-09 |
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1588981096 | Joan Jackson Cavan | Clinic/Center | 86595 N Modesto Dr, Eugene, OR 97402-9045 | 2010-04-23 |
| 1639316193 | La Pine Community Health Center | Clinic/Center | 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 | 2009-01-20 |
| 1376546291 | Willamette Family, Inc | Clinic/Center | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2005-05-24 |
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1457897548 | Lukedorf | Clinic/Center | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-01-12 |
| 1427594977 | Coast Community Health Clinic | Clinic/Center | 1010 1st St Se, Bandon, OR 97411-9301 | 2017-01-09 |
| 1245608819 | Annette Louise Koski | Clinic/Center | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2015-09-12 |
| Find all providers with the same taxonomy | ||||
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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.