ALEC DAVID BONDIETTI


Address: 9125 Sw 55th Ave, Portland, OR 97219-5018
Phone: 5034774622

ALEC DAVID BONDIETTI (NPI# 1245830371) 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) 1245830371
Entity Type Individual
Full Name ALEC DAVID BONDIETTI
Practice Address 9125 Sw 55th Ave
Portland
OR 97219-5018
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5034774622
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 9125 SW 55TH AVE
City PORTLAND
State OR
Zip Code 97219-5018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558686576 Mentor Abi Community Based Residential Treatment Facility, Mental Illness 9125 Sw 55th Ave, Portland, OR 97219-5018 2010-04-01
1205452612 Jade Lynn Marasco-wetzel Technician 9125 Sw 55th Ave, Portland, OR 97219-5018 2020-06-22
1801419890 Elijah Rain Hart Technician 9125 Sw 55th Ave, Portland, OR 97219-5018 2020-05-25
1033739826 Omar Bah Case Manager/Care Coordinator 9125 Sw 55th Ave, Portland, OR 97219-5018 2020-04-21
1467858902 Benjamin Strobel Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-11-11
1275939712 Ross Nixon Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-11-11
1629474176 Jason Zerbel Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-11-11
1669877023 Krystal Castro Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-10-28
1740685106 Allison Lane Rotunno Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-10-28
1770988131 Sarah Lynn Marie Dupree Adult Companion 9125 Sw 55th Ave, Portland, OR 97219-5018 2014-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356958672 Lighthouse Psychological Services, LLC Psychologist 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 2020-09-30
1083130991 Tawayne Nolen Malone Jr. Psychologist 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 2017-08-22
1548667918 Eleven Eleven, LLC Specialist/Technologist, Other 6714 Sw 62nd Place, Portland, OR 97219 2014-12-01
1023414257 Paul Shayne Hansen Adult Companion 9155 Sw 55th Avenue, Portland, OR 97219 2014-11-17
1154721850 Mikhail Govshievich Denturist 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 2014-08-29
1255749404 Kristin Rae Paruszkiewicz Physical Therapist 7943 Sw Barbur Blvd #1, Portland, OR 97219 2014-07-31
1639436488 Michelle Lorraine Emery Counselor 7912 Sw 35th, Portland, OR 97219 2012-04-18
1588930192 Steve Ryan Speech-Language Pathologist 3315 Sw Falcon St, Portland, OR 97219 2012-03-28
1104145952 Multnomah Family Care Center Clinic/Center 6787 Sw Capitol Hwy, Portland, OR 97219 2010-05-19
1740518331 Trilbie L Patteson Physical Therapy Assistant 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 2009-11-20
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437775558 John Alan Varner Case Manager/Care Coordinator 5833 N Lombard St, Portland, OR 97203-4115 2020-06-24
1750906228 Dwell Care LLC. Case Manager/Care Coordinator 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 2020-06-10
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102077 Joslyn Bailey Gheen Case Manager/Care Coordinator 1032 Sw Main St, Portland, OR 97205-2407 2019-09-05
1497311773 Ali Tareq Ashour Case Manager/Care Coordinator 980 Forest Ave Ste 106, Portland, ME 04103-3357 2019-05-13
1427540202 Amber Tracy Ware Case Manager/Care Coordinator 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2018-06-06
1710479209 Katherine Anne Kerr Case Manager/Care Coordinator 4307 Ne 102nd Ave, Portland, OR 97220-3439 2018-05-31
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1083137459 David Sague Case Manager/Care Coordinator 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 2017-07-18
1538601885 Gabriela Simone Sargent Case Manager/Care Coordinator 4109 Se 113th Ave, Portland, OR 97266-2226 2016-11-16
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Competitor

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City PORTLAND
Zip Code 97219

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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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