ADAM PETTEE (NPI# 1326685934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326685934 |
| Entity Type | Individual |
| Full Name | ADAM PETTEE |
| Practice Address |
7759 Se 72nd Ave Portland OR 97206-7921 |
| Practice Telephone | 5037884500 |
| Mailing Telephone | 5037884500 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
7759 SE 72ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453686 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2006-10-19 |
| 1386285856 | Nahla Torres | Case Manager/Care Coordinator | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-10-04 |
| 1922656941 | Isatou Bojang | Case Manager/Care Coordinator | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-09-03 |
| 1457905663 | Hannah Elizabeth Lehmann | Case Manager/Care Coordinator | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-07-25 |
| 1467013326 | Erin Elizabeth Farr | Specialist | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-06-21 |
| 1083271290 | Pa Eddi Camara | Case Manager/Care Coordinator | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-05-22 |
| 1518429455 | Sandra Marie Groesbeck | Case Manager/Care Coordinator | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-04-01 |
| 1811458771 | Christopher Bruce Carstensen | Specialist | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-03-25 |
| 1639635998 | Elizabeth Rachele Freeman | Peer Specialist | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-02-12 |
| 1629542055 | Jan Clay | Counselor | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2019-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| 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.