DR. REBECCA M DODGE


Address: 3939 Ne Hancock St # 316, Portland, OR 97212-5321
Phone: 9718082547

DR. REBECCA M DODGE (NPI# 1205167160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205167160
Entity Type Individual
Full Name DR. REBECCA M DODGE
Credential PSY.D.
Practice Address 3939 Ne Hancock St # 316
Portland
OR 97212-5321
Practice Telephone 9718082547
Practice Fax Number 5032887877
Mailing Telephone 9718082547
Mailing Fax Number 5032887877
Enumeration Date 2010-01-15
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2475 OR Behavioral Health & Social Service Providers

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Office Location

Street Address 3939 NE HANCOCK ST # 316
City PORTLAND
State OR
Zip Code 97212-5321

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
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1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007387 Lyle Vintinner Psychologist 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 2020-09-11
1194341297 Natalie Dawn Mitchell Psychologist 3762 Sw Council Crest Dr, Portland, OR 97239-1595 2020-06-24
1992331607 Erin A. Mueller Psychologist 718 Sw Alder St Ste 200, Portland, OR 97205-3423 2020-03-14
1952940520 Timothy Allen Cooper Psychologist 3331 Sw Hamilton Ct, Portland, OR 97239-1256 2019-12-31
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1093373631 Emily Catherine Stasko Psychologist 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 2019-05-29
1174094544 Juniper Psychological Services Psychologist 2827 Ne Alberta St, Portland, OR 97211-6350 2018-12-11
1528539335 Mark G Kiefner Phd LLC Psychologist 225 Commercial St Ste 403, Portland, ME 04101-6603 2018-12-06
1467941831 Shannon Madore Psychologist 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 2018-05-01
1033637202 Kaylin Jones Psychologist 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 2017-09-07
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Competitor

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City PORTLAND
Zip Code 97212

Improve Information

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Dataset Information

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.

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