ELIZABETH ROSE ANDERSON (NPI# 1275131922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275131922 |
| Entity Type | Individual |
| Full Name | ELIZABETH ROSE ANDERSON |
| Practice Address |
2375 Nw Glisan St Portland OR 97210-3420 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5034232236 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
OR | Nursing Service Related Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518786 | Elizabeth Kay Anderson | Registered Nurse | 105 Birch St E, Frederic, WI 54837-8985 | 2020-11-08 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1629610373 | Elizabeth Ann Anderson | Counselor | 2701 N 16th St Ste 122, Phoenix, AZ 85006-1265 | 2019-10-15 |
| 1437704137 | Elizabeth Anderson | Technician | 237 Vincent Ln, Kershaw, SC 29067-8793 | 2019-08-08 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1700430378 | Elizabeth Anderson | Marriage & Family Therapist | 400 Hobron Ln Apt 611, Honolulu, HI 96815-1201 | 2019-07-31 |
| 1366094807 | Elizabeth Powell Anderson | Family Medicine | 1720 E Reelfoot Ave Ste 103, Union City, TN 38261-6048 | 2019-07-15 |
| 1457913535 | Elizabeth Catherine Anderson | Social Worker | 1100 New Britain Ave Fl 2, West Hartford, CT 06110-2427 | 2019-06-28 |
| 1124687215 | Elizabeth Anderson | Dance Therapist | 116 Patterson Rd, Hanscom Afb, MA 01731-2651 | 2019-06-11 |
| 1518520899 | Elizabeth Cecelia Anderson | Speech-Language Pathologist | 14315 Fairdale Rd, Silver Spring, MD 20905-4532 | 2019-04-22 |
| Street Address |
2375 NW GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568549855 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2006-11-01 |
| 1487269429 | Amanda Macy Vanwagenen | Case Manager/Care Coordinator | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-09-15 |
| 1730703232 | Danielle K Cortes | Case Manager/Care Coordinator | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-06-01 |
| 1124641733 | Heidi M Endres | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-05-19 |
| 1144842121 | Roxanne M Muhammad | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-05-12 |
| 1093337271 | Sorrel Johnson | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-05-11 |
| 1336769124 | Seth L Williams | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-04-21 |
| 1215557095 | Melody Kaye Johnson | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-04-21 |
| 1528687266 | John Kuwaye | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-04-13 |
| 1033743364 | In Su Jeoung | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1235367228 | New England Family Healthcare | Technician | 125 Presumpscot St., #9, Portland, ME 04103 | 2009-06-29 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| 1083212781 | Haili Michelle Jones | Technician | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2020-10-14 |
| 1316545056 | Cash A Crouse | Technician | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2020-10-14 |
| 1841897105 | David Brian Prescott | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-08 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on ELIZABETH ROSE ANDERSON.
| 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.