LUTHERAN COMMUNITY SERVICES NORTHWEST (NPI# 1326056433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326056433 |
| Entity Type | Organization |
| Organization Name | LUTHERAN COMMUNITY SERVICES NORTHWEST |
| Practice Address |
605 Se Cesar E Chavez Blvd Portland OR 97214-3216 |
| Practice Telephone | 5032317480 |
| Practice Fax Number | 5037319574 |
| Mailing Telephone | 5032317480 |
| Mailing Fax Number | 5037319574 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | DR. PIERRE MORIN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5032317480 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OR | Ambulatory Health Care Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1255542106 | Lutheran Community Services Northwest | Community/Behavioral Health | 819 Highway 99 West, B, Mcminnville, OR 97128 | 2007-05-24 |
| 1962628297 | Lutheran Community Services Northwest | Counselor | 433 Minor Ave N, Seattle, WA 98109 | 2007-04-17 |
| 1447329529 | Lutheran Community Services Northwest | Counselor | 3321 West Kennewick Avenue, Suite 150, Kennewick, WA 99336 | 2006-11-06 |
| 1750864658 | Lutheran Community Services Northwest | Counselor | 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, OR 97005-2035 | 2018-09-07 |
| 1700218815 | Lutheran Community Services Northwest | Community/Behavioral Health | 3600 Main St, Suite 200, Vancouver, WA 98663-2236 | 2013-07-31 |
| 1093948945 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se 39th Ave, Portland, OR 97214-3216 | 2009-08-26 |
| 1609078658 | Lutheran Community Services Northwest | Community/Behavioral Health | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2007-06-01 |
| 1609900307 | Lutheran Community Services Northwest | Community/Behavioral Health | 210 W Sprague Ave, Spokane, WA 99201-3627 | 2007-03-15 |
| 1477615961 | Lutheran Community Services Northwest | Counselor | 1251 Ne Elm St, Prineville, OR 97754-1206 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LUTHERAN COMMUNITY SERVICES NORTHWEST | 4040 S 188th St Ste 300, Seatac, WA 98188 |
| Oregon Corporations, Companies and Business Names | LUTHERAN COMMUNITY SERVICES NORTHWEST FOUNDATION | 605 Se Cesar E Chavez Blvd, Portland, OR 97214 |
| Street Address |
605 SE CESAR E CHAVEZ BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911511 | Peter Emedi Mmunga | Peer Specialist | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-26 |
| 1619574985 | Zoe Ottemiller | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-08 |
| 1861099137 | Hira Bukhari | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-10-08 |
| 1306469689 | Sarah Mustafa | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-05-21 |
| 1649893926 | Zahro Abukar | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-05-21 |
| 1770103558 | Alisa F O'connor | Case Manager/Care Coordinator | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2020-04-21 |
| 1619528312 | Annie Petrossian | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-24 |
| 1174174023 | Anthony (tony) Carr Lash | Counselor | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-23 |
| 1639720758 | Sonya Zimina | Art Therapist | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-20 |
| 1528619541 | Gabrielle Christine Yelland | Social Worker | 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
| 1598228579 | Christensen Counseling, LLC | Clinic/Center | 6420 Sw Macadam Avenue, Suite 390, Portland, OR 97239-9723 | 2019-04-08 |
| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
| 1427545961 | Value Creation Counseling | Clinic/Center | 2028 Se Marion St Apt 11, Portland, OR 97202-7365 | 2018-04-19 |
| 1982140588 | Columbiacare Services | Clinic/Center | 17720 Ne Halsey St # 1, Portland, OR 97230-6734 | 2017-01-06 |
| 1528420692 | Connections First, LLC | Clinic/Center | 2250 Nw Flanders St Ste 201, Portland, OR 97210-5410 | 2016-03-28 |
| 1194104026 | Coastal Plains Community Mhmr Center | Clinic/Center | 200 Marriott Drive, Portland, TX 78374-2213 | 2015-05-26 |
| 1841618253 | Sellwood Counseling Services | Clinic/Center | 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658 | 2014-04-02 |
| 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.