NATIVE AMERICAN REHABILITATION ASSOCIATION NORTHWEST, INC. (NPI# 1346520251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346520251 |
| Entity Type | Organization |
| Organization Name | NATIVE AMERICAN REHABILITATION ASSOCIATION NORTHWEST, INC. |
| Other Organization Name | NARA NW - LIFEWORKS |
| Practice Address |
3716 Ne Mlk Jr Blvd Portland OR 97212 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205 |
| Practice Telephone | 5032309875 |
| Practice Fax Number | 5032309877 |
| Mailing Telephone | (503) 224-1044 |
| Mailing Fax Number | 5032744251 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MS. SARAH AYERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9713862278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 126370 | 05 |
| Other Name | Type Code |
|---|---|
| NARA NW - Lifeworks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174979934 | Native American Rehabilitation Association Northwest, Inc. | Dentist | 12750 Se Stark St, Building E, Portland, OR 97233-1539 | 2016-05-11 |
| Street Address |
3716 NE MLK JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174768865 | Ian Richard Starr | Psychiatry & Neurology | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2008-12-09 |
| 1295239168 | Annemieke Clark | Nurse Practitioner | 3716 Ne Mlk Jr Blvd, Portland, OR 97212 | 2018-03-23 |
| 1275050106 | Amanda Caroline Burt | Case Manager/Care Coordinator | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2017-08-22 |
| 1518409853 | Amelia Anders | Case Manager/Care Coordinator | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2016-11-16 |
| 1366817892 | Angelica Lucia | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-12-09 |
| 1316310063 | Jillian Davis | Social Worker | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-11-03 |
| 1164817995 | Maria Therese Bonacci | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-30 |
| 1386038875 | Warren Rudd Jr. | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-24 |
| 1225420946 | Cherity Whiteaker | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-03-04 |
| 1083006050 | Celess Jollymore | Counselor | 3716 Ne Mlk Jr Blvd, Portland, OR 97212-1111 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| 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.