BAYLEE BULLOCK (NPI# 1356948608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356948608 |
Entity Type | Individual |
Full Name | BAYLEE BULLOCK |
Practice Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
Practice Telephone | 5032584200 |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
11035 NE SANDY BLVD |
City | PORTLAND |
State | OR |
Zip Code | 97220-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194814665 | Beth Diane French | Psychologist | 11035 Ne Sandy Blvd, Portland, OR 97220 | 2006-10-12 |
1780290411 | Azin Ghoreyshi | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-09-17 |
1992317473 | Daisy Ulloa Bahena | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-08-17 |
1881221919 | Brittany M Russ | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-03-26 |
1891330593 | Cynthia Ceciliani | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-11-17 |
1710529599 | Vanessa Sanchez-mexicano | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-12 |
1407498306 | Caren Elizabeth Summers-nomura | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-11 |
1265080592 | Lauren M Wenzinger | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-29 |
1083261127 | Alison Harriot | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-22 |
1578119863 | Michelle Connolly | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
Find all providers in zip 97220 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
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.