MRS. MEREDITH MARIE MIRSEPASSI (NPI# 1235653379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235653379 |
| Entity Type | Individual |
| Full Name | MRS. MEREDITH MARIE MIRSEPASSI |
| Credential | LPC, CADCI |
| Practice Address |
8855 Sw Holly Ln Ste 105 Wilsonville OR 97070-8792 |
| Mailing Address |
4104 Ne 105th Ave Portland OR 97220-3442 |
| Practice Telephone | 5035447962 |
| Mailing Telephone | 5035447962 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C4140 | OR | Behavioral Health & Social Service Providers |
| Street Address |
8855 SW HOLLY LN STE 105 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-8792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1285056390 | Barry William Mcvay | Counselor | 28558 Sw Wagner St, Wilsonville, OR 97070-6786 | 2014-01-08 |
| 1003178476 | Debra Agee | Counselor | 11520 Sw Zurich St, Wilsonville, OR 97070-7383 | 2012-06-12 |
| 1942594692 | Jeff Love | Counselor | 29549 Sw Villebois Dr S, Wilsonville, OR 97070-7329 | 2011-05-29 |
| 1053645028 | Chasee Lofft | Counselor | 29270 Sw Orleans Loop, Box 9, Wilsonville, OR 97070 | 2009-09-23 |
| 1255571634 | Linda Marie Stenberg | Counselor | 8855 Sw Holly Ln Ste 131, Wilsonville, OR 97070-8793 | 2009-02-25 |
| 1356464648 | Christine E. Rolphe-bewley | Counselor | 9450 Sw Commerce Cir Ste 320, Wilsonville, OR 97070-9626 | 2007-04-09 |
| 1780720425 | John Benassu | Counselor | 30470 Sw Parkway Ave, Wilsonville, OR 97070-7804 | 2007-01-29 |
| 1235754284 | Cheryl D Ferreira | Counselor | 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 | 2020-06-15 |
| 1306488069 | Corey Pargeter | Counselor | 29549 Sw Villebois Dr S, Wilsonville, OR 97070-7329 | 2019-10-15 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on MRS. MEREDITH MARIE MIRSEPASSI.
| 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.