CASSANDRA MICHELLE GARDNER (NPI# 1306360508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306360508 |
| Entity Type | Individual |
| Full Name | CASSANDRA MICHELLE GARDNER |
| Practice Address |
617 Ne Davis St Mcminnville OR 97128-4716 |
| Mailing Address |
221 Nw 10th St Mcminnville OR 97128-5015 |
| Practice Telephone | 5034724020 |
| Mailing Telephone | 9712377390 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
617 NE DAVIS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003939943 | Kimberly Ann Russell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2007-04-07 |
| 1093227522 | Rodney Scott Johnson | Counselor | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-10-24 |
| 1306362942 | Aleja Z Graham Ubaldo Paz | Counselor | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-08-15 |
| 1043735947 | Kari A Linton | Counselor | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-08-11 |
| 1528582459 | Lorraine Fern Mason | Counselor | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-08-02 |
| 1487178752 | Chloe Dawson | Behavioral Analyst | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-07-28 |
| 1235665118 | Aj A Abell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-05-11 |
| 1114370004 | Angela Bodwell | Social Worker | 617 Ne Davis St, Lutheran Community Services Northwest, Mcminnville, OR 97128-4716 | 2016-07-15 |
| 1700253267 | Rebekah Harding | Counselor | 617 Ne Davis St, Mcminnville, OR 97128 | 2015-08-31 |
| 1457728073 | Katherine Gabel | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462734 | Paula Borges Fontenelle | Counselor | 609 Ne Baker St Ste 280, Mcminnville, OR 97128-4958 | 2020-06-22 |
| 1689204620 | Mariah Wuellner | Counselor | 325 Sw Elmwood Ave, Mcminnville, OR 97128-5913 | 2020-01-17 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1548736184 | Courtney Greif | Counselor | 1275 Nw Adams St Ste C, Mcminnville, OR 97128-3549 | 2018-10-22 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| 1174060701 | Denise Bella Fellows | Counselor | 932 Ne 18th St, Mcminnville, OR 97128-3106 | 2017-01-20 |
| 1841671369 | Emanuel Recinos | Counselor | 490 Ne 5th St, Mcminnville, OR 97128 | 2015-06-10 |
| 1851781298 | Molly Winterrowd | Counselor | 672 Ne Evans St., Mcminnville, OR 97224 | 2015-01-23 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on CASSANDRA MICHELLE GARDNER.
| 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.