MS. KATHERINE D. ELLIOTT (NPI# 1225146442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225146442 |
Entity Type | Individual |
Full Name | MS. KATHERINE D. ELLIOTT |
Credential | NURSE PRACTITIONER |
Practice Address |
3710 Sw Us Veterans Road P3mhdc Portland OR 97204-1034 |
Mailing Address |
P Obox 1034 P3mhdc Portland OR 97204-1034 |
Practice Telephone | 5032735187 |
Practice Fax Number | 5032803499 |
Mailing Telephone | 5032735187 |
Mailing Fax Number | 5032803499 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
79043305 | OR | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407384019 | Katherine Brooks Elliott | Dietitian, Registered | 929 E Durant Ave, Aspen, CO 81611-2023 | 2017-05-25 |
1093784381 | Katherine L Elliott | Registered Nurse | 2 Park Ave, Hope Center At Park Care - 4w, Yonkers, NY 10703-3402 | 2006-03-17 |
1194010124 | Katherine Fox Elliott | Speech-Language Pathologist | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-06-17 |
1992960025 | Katherine H Elliott | Physician Assistant | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7003 | 2008-07-29 |
Street Address |
3710 SW US VETERANS ROAD P3MHDC |
City | PORTLAND |
State | OR |
Zip Code | 97204-1034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558477174 | Teresa Mae Hoos | Dietitian, Registered | 3710 Sw Us Veterans Road, P-5-nfs, Portland, OR 97239 | 2006-08-23 |
1003468265 | Taylor Roemelt | Student in an Organized Health Care Education/Training Program | 3710 Sw Us Veterans Road, Portland, OR 97239 | 2019-07-09 |
1942412739 | Veterans Administration Hospital | Clinical Medical Laboratory | 3710 Sw Us Veterans Road, Portland, OR 97207 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
Find all providers in zip 97204 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407185374 | West End Practice LLC | Registered Nurse | 95 Pine St, Portland, ME 04102-3719 | 2009-12-23 |
1750358610 | Barbara J. Limandri | Registered Nurse | 2255 Nw Northrup St, Linfield College School of Nursing, Portland, OR 97210-2918 | 2006-02-28 |
1659918415 | Leslie Wright | Registered Nurse | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2019-11-28 |
1194209403 | John Charles Eubanks | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-09-21 |
1649705872 | Julie Wesley | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-04-25 |
1689034431 | Marie Ancharski | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2016-03-07 |
1558751784 | Turi Sado | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2015-01-26 |
1477943603 | Caroline Rowney | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2015-01-26 |
1669739090 | Joseph Robinson | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2012-04-23 |
1609140292 | Megan Kathleen Bailey | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2012-02-29 |
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.