MONTE BAINBRIDGE (NPI# 1316424518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316424518 |
| Entity Type | Individual |
| Full Name | MONTE BAINBRIDGE |
| Practice Address |
1103 Ne Elm St Ste B Prineville OR 97754 |
| Mailing Address |
1103 Ne Elm St Ste B Prineville OR 97754-1664 |
| Practice Telephone | 5413235330 |
| Practice Fax Number | 5414471121 |
| Mailing Telephone | 5413235330 |
| Mailing Fax Number | 5414471121 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1103 NE ELM ST STE B |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316424971 | Bonnie Mcmillan | Peer Specialist | 1103 Ne Elm St Ste B, Prineville, OR 97754-1664 | 2018-07-25 |
| 1386121044 | Joleigh Creason | Peer Specialist | 1103 Ne Elm St Ste B, Prineville, OR 97754-1664 | 2018-07-25 |
| 1730666496 | Carissa Bussard | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754-1664 | 2018-07-25 |
| 1326525981 | Joan Lessig | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754-1664 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| 1932396223 | Assisted Living Concepts Inc | Assisted Living Facility | 150 South Williamson Drive, Prineville, OR 97754 | 2007-10-01 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463565 | Stepheni Lester | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-09-23 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1962762518 | Donna R Hamlin | Counselor | 172 Nw 4th St, Prineville, OR 97754-1820 | 2012-05-16 |
| 1396807574 | Sten Ivan Swanston | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2006-12-14 |
| 1023001435 | Linda Joyce Cook | Counselor | 13433 Se Southwood Dr, Prineville, OR 97754 | 2005-08-31 |
| 1508463951 | Lindsey Stewart | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-10-07 |
| 1841803186 | Elizabeth Bartelli-herman | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-08-26 |
| 1528670908 | Prineville Counseling Center LLC | Counselor | 190 Nw 4th St, Prineville, OR 97754-1820 | 2020-08-18 |
| 1568089423 | Mandee Ray Awmiller | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-06-26 |
| 1538784053 | Leah Nieradka | Counselor | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2020-06-10 |
| Find all providers in PRINEVILLE | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
Please comment or provide details below to improve the information on MONTE BAINBRIDGE.
| 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.