LILYAN CHARLOTTE RUSSEL SMITH-MOORE


Address: 511 Sw 10th Ave, #601, Portland, OR 97205-2732
Phone: 9713734497

LILYAN CHARLOTTE RUSSEL SMITH-MOORE (NPI# 1205378858) 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) 1205378858
Entity Type Individual
Full Name LILYAN CHARLOTTE RUSSEL SMITH-MOORE
Credential M.ED.
Practice Address 511 Sw 10th Ave
#601
Portland
OR 97205-2732
Mailing Address Po Box 9152
Portland
OR 97207-9152
Practice Telephone 9713734497
Mailing Telephone 9713734497
Enumeration Date 2016-11-14
Last Update Date 2018-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
R3725 OR Behavioral Health & Social Service Providers

Office Location

Street Address 511 SW 10TH AVE
#601
City PORTLAND
State OR
Zip Code 97205-2732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336146307 Michael Charles Royse Dentist 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 2005-07-05
1861049835 Jennifer Larson Counselor 511 Sw 10th Ave, Portland, OR 97205-2732 2019-08-23
1720528235 Jessica Lyn Collins Massage Therapist 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 2017-03-02
1184073496 Julia Richfield Specialist 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 2016-06-07
1821463050 Fox Kids Dentistry & Orthodontics Dentist 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 2015-12-14
1477927580 Jacquelin Perry Massage Therapist 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 2015-12-01
1912382078 Dana Fox Dentist 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 2015-07-29
1336524206 Drew Barrios Specialist 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 2015-07-21
1891179875 Jessica Mintie Kloenne Dentist 511 Sw 10th Ave, Ste 804, Portland, OR 97205-2732 2015-07-20
1346631124 Laura Kathryn Hanson Massage Therapist 511 Sw 10th Ave, Ste 1108, Portland, OR 97205-2732 2015-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
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Competitor

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City PORTLAND
Zip Code 97205

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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