TRANSFORMATIVE PATHWAYS PDX (NPI# 1336656982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336656982 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIVE PATHWAYS PDX |
| Other Organization Name | BRANDON HARDAWAY |
| Practice Address |
2951 Nw Division St Gresham OR 97030-5292 |
| Practice Telephone | 9714013784 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | BRANDON HARDAWAY (OWNER) |
| Authorized Official Telephone | 9714013784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | A4231 | OR | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Brandon Hardaway | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRANSFORMATIVE PATHWAYS PDX | 2951 Nw Division St, Suite 120, Gresham, OR 97030 |
| Street Address |
2951 NW DIVISION ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639187099 | Ginna Alene Hoffman | Counselor | 2951 Nw Division St, Suite 200, Gresham, OR 97030-5292 | 2006-08-03 |
| 1396910675 | Sarita Trawick | Counselor | 2951 Nw Division St, Suite 120, Gresham, OR 97030-5292 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194018135 | Caroline Rose | Social Worker | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2011-05-24 |
| 1407369358 | Jordan Grace Kling | Social Worker | 4101 Ne Division St, Gresham, OR 97030-4617 | 2017-11-14 |
| 1588011415 | Jeremy Smith | Social Worker | 912 Ne Kelly Ave Ste 200, Gresham, OR 97030-5637 | 2016-05-20 |
| 1144680976 | Hannah Kimberly | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-03-07 |
| 1801296264 | Ruby Victoria Riesenberg | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2014-09-03 |
| 1407284797 | Karen Jean Coleman | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2013-10-23 |
| 1376887034 | Melissa Ballard | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2012-11-19 |
| 1144593708 | Valarie Malone Evart | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2012-02-13 |
| 1891085478 | Valerie Providenza | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2011-04-15 |
| 1285932285 | Lisa Achilles | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2011-03-01 |
| Find all providers in GRESHAM | ||||
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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.