MR. BLAKE GIBSON WHITAKER (NPI# 1336700848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336700848 |
| Entity Type | Individual |
| Full Name | MR. BLAKE GIBSON WHITAKER |
| Practice Address |
2005 Sw Leewood Dr Aloha OR 97003-2104 |
| Practice Telephone | 5038402038 |
| Mailing Telephone | 5038402038 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | OR | Nursing Service Related Providers |
| Street Address |
2005 SW LEEWOOD DR |
| City | ALOHA |
| State | OR |
| Zip Code | 97003-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972055549 | Lisa M Lee | Adult Companion | 4585 Sw 185th Ave, Aloha, OR 97078 | 2016-10-31 |
| 1326263203 | William Earl Robinson Jr. | Adult Companion | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590035 | Holly Marie Smith | Adult Companion | 4849 Sedona Dr, Eugene, OR 97404-3309 | 2019-10-27 |
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1275013195 | Brandon Stephen Lime | Adult Companion | 3516 Nw Coronado St, Corvallis, OR 97330-4695 | 2018-08-20 |
| 1598256224 | Krystle Anderson | Adult Companion | 4289 Sw Battaglia Pl, Gresham, OR 97080-8645 | 2018-05-29 |
| 1780184879 | Zoe Rose Littlebury Oftedal | Adult Companion | 1500 Valley River Dr, Eugene, OR 97401-2130 | 2018-02-15 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
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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.