NANCY C. BIDLACK (NPI# 1225199300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225199300 |
| Entity Type | Individual |
| Full Name | NANCY C. BIDLACK |
| Credential | PMHNP |
| Practice Address |
410 N 9th St Cottage Grove OR 97424-1307 |
| Practice Telephone | 5419422850 |
| Practice Fax Number | 5419421574 |
| Mailing Telephone | 5419422850 |
| Mailing Fax Number | 5419421574 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 019047 | 05 |
| Street Address |
410 N 9TH ST |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376602706 | Deborah Blackstone | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2006-12-08 |
| 1629301387 | Daniel S Field | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2009-09-14 |
| 1255567855 | Irie Hoffman | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2009-06-09 |
| 1407097124 | Julie C Rudolph | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2009-03-09 |
| 1548400112 | Rhonda Taylor | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2009-02-23 |
| 1194965764 | Glen Dever | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2009-02-23 |
| 1134372170 | Lisa Ann Raney | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2008-11-03 |
| 1427208875 | Jane Paulson | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2008-09-23 |
| 1902054844 | Elizabeth Pownall | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2008-09-04 |
| 1891942033 | Jodi Smith | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574258 | Karen Fri Rih Reh | Nurse Practitioner | 7655 61st St S, Cottage Grove, MN 55016-6004 | 2020-10-06 |
| 1508254517 | Jacqueline Hall | Nurse Practitioner | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2014-12-27 |
| 1043642408 | Pearl Ann Jobe | Nurse Practitioner | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2013-08-07 |
| 1245430198 | Becca D Henry | Nurse Practitioner | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2007-07-19 |
| 1477612869 | Debra Achenbach | Nurse Practitioner | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on NANCY C. BIDLACK.
| 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.