KEVIN ROSS BOONE (NPI# 1205174398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205174398 |
| Entity Type | Individual |
| Full Name | KEVIN ROSS BOONE |
| Practice Address |
10373 Ne Hancock St Suite 200 Portland OR 97220-3873 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032536754 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376869669 | Kevin Boone | Hospitalist | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2010-04-13 |
| Street Address |
10373 NE HANCOCK ST SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481285 | Nora Lou Fairley | Psychiatry & Neurology | 10373 Ne Hancock St, Suite 115, Portland, OR 97220-3873 | 2005-10-18 |
| 1255931291 | Muhira M Amei | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2020-10-28 |
| 1700355138 | Teresa Enigma | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2018-11-14 |
| 1962919183 | Talina Marshay Branch | Peer Specialist | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2018-01-09 |
| 1508375619 | Colin Lee Kaehler | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2017-09-21 |
| 1871976191 | Alexandria Schweitzer | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2015-07-06 |
| 1972909083 | Meredith Arend | Counselor | 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 | 2014-11-17 |
| 1922408186 | Ronald Gerard Malanga Jr. | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2014-08-25 |
| 1760891014 | Victor Boomer-jenks | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2014-08-11 |
| 1265841225 | Fred Green | Counselor | 10373 Ne Hancock St, Portland, OR 97220-3873 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.