SUSAN MARIE (NPI# 1235267329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235267329 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE |
| Other Name | SUSAN MARIE GODSCHALX |
| Credential | PMHNP |
| Practice Address |
426 Sw Stark St 8th Floor Portland OR 97204-2347 |
| Mailing Address |
421 Sw Oak St 210 Portland OR 97204-1817 |
| Practice Telephone | 5039883674 |
| Practice Fax Number | 5039885180 |
| Mailing Telephone | 5039883674 |
| Mailing Fax Number | 5039884098 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-12-21 |
| 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 |
200250033NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 022959 | 05 |
| Street Address |
426 SW STARK ST 8TH FLOOR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158890 | Debby Parrish | Pharmacist | 426 Sw Stark St, 4th Floor, Portland, OR 97204-2347 | 2006-03-14 |
| 1619323102 | Ebony Klinger | Dental Hygienist | 426 Sw Stark St, 9th Floor, Portland, OR 97204-2303 | 2016-05-13 |
| 1255720181 | Aviel Forster | Social Worker | 426 Sw Stark St, 5th Floor, Portland, OR 97204-2303 | 2015-01-15 |
| 1518233766 | Thomas Lucien Jeanne | Preventive Medicine | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 | 2012-03-31 |
| 1174813083 | Julie Lueker | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-12 |
| 1326338674 | Kathrine Segnitz | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-07 |
| 1073802559 | Teresa Blanshine | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1548559107 | Mary Linn | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1861781346 | Tuyet-anh Ann Tran | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-05 |
| 1124317649 | Jennifer Tujo | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| Find all providers in the same location | ||||
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| 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 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| 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.