BRANDON JAMES PETTIT (NPI# 1346880614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346880614 |
| Entity Type | Individual |
| Full Name | BRANDON JAMES PETTIT |
| Credential | BA |
| Practice Address |
1312 Sw Washington St Portland OR 97205-2327 |
| Practice Telephone | 5035351101 |
| Mailing Telephone | 5035351101 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750540985 | Brandon Angus Pettit | Family Medicine | 7900 S J Stock Rd, Tucson, AZ 85746-7012 | 2008-06-03 |
| Street Address |
1312 SW WASHINGTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992844203 | Tim C Gilles | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2007-02-05 |
| 1144836362 | Ellen Corinne Dungy | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-22 |
| 1568077352 | Kori Hill | Student in an Organized Health Care Education/Training Program | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-09 |
| 1013521673 | Claire Whigham | Marriage & Family Therapist | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-09-01 |
| 1871105775 | Haylee Bush | Counselor | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-08-20 |
| 1780206615 | Fikirte Asefa Belew II | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-14 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1366072001 | Shnonya Holiman | Peer Specialist | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-22 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1568002392 | Jennifer Liana Siegel | Prevention Professional | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.