STACI WADE-HERNANDEZ (NPI# 1316324338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316324338 |
| Entity Type | Individual |
| Full Name | STACI WADE-HERNANDEZ |
| Credential | PSY.D. |
| Practice Address |
5000 N Willamette Blvd Msc 147 Portland OR 97203-5743 |
| Practice Telephone | 5417372131 |
| Mailing Telephone | 5039437134 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2016-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2283 | OR | Behavioral Health & Social Service Providers |
| Street Address |
5000 N WILLAMETTE BLVD MSC 147 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203-5743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630408 | Joel James Marick | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2007-02-28 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1730792409 | Ashley Lisa Thiessen | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-08-24 |
| 1487262077 | Emily Elias | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-07-20 |
| 1871115469 | Kristina Diane Miller | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-05-18 |
| 1720614878 | Colleen Christine French | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-03-20 |
| 1306493341 | Sarah Faye Curde | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-08-23 |
| 1962056556 | Stephanie Lynn Jacobson | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-07-31 |
| 1104481175 | Kellie Elizabeth Wilcox | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2019-05-06 |
| 1821584871 | Ryan O'connell | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| Find all providers in zip 97203 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| 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.