MRS. RACHEL ANN RENICK (NPI# 1194981464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194981464 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL ANN RENICK |
| Credential | O.T.A. |
| Practice Address |
12441 Se Stark St Portland OR 97233-1053 |
| Practice Telephone | 8775543120 |
| Practice Fax Number | 3608161716 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 174400000X | Specialist | OR | Other Service Providers |
| Street Address |
12441 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703110 | Evergreen Oregon Healthcare Portland, L.L.C. | Skilled Nursing Facility | 12441 Se Stark St, Portland, OR 97233-1053 | 2006-05-05 |
| 1235788936 | Michael William Ellis | Physical Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2019-09-05 |
| 1447727995 | Ilana G Reinholtz | Occupational Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2018-11-01 |
| 1033622386 | David Anthony Alarcon | Speech-Language Pathologist | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-11-08 |
| 1972027423 | Katlin Snow | Physical Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-07-26 |
| 1154851533 | Heidi Jo Aiken | Occupational Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2017-06-18 |
| 1811346208 | Marie Schlosser | Physical Therapist | 12441 Se Stark St, Portland, OR 97233-1053 | 2016-06-07 |
| 1255688628 | Melanie Elaine Dickson | Speech-Language Pathologist | 12441 Se Stark St, Portland, OR 97233-1053 | 2012-08-05 |
| 1306086996 | Julie Malcom Carey | Physical Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2009-02-23 |
| 1043466493 | Jennifer Ann Oliver | Physical Therapy Assistant | 12441 Se Stark St, Portland, OR 97233-1053 | 2008-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| 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.