MR. JEFFREY J THOMAS (NPI# 1366737090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366737090 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY J THOMAS |
| Credential | CADC II |
| Practice Address |
1814 Ne 101st Ave Portland OR 97220-3848 |
| Practice Telephone | 5412321216 |
| Mailing Telephone | 5412321216 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14-08-18 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184019408 | Jeffrey Thomas | Counselor | 8624 Hogan Rd, Temple, TX 76502-5194 | 2015-04-02 |
| 1225436447 | Jeffrey Franklin Thomas | Counselor | 2300 Beasley Drive, Doctors Park 6a, Greenville, NC 27834 | 2014-12-22 |
| 1336578137 | Jeffrey Thomas | Driver | 317 Crowley Rd, Columbus, OH 43207-3879 | 2013-11-02 |
| 1003985383 | Jeffrey Thomas | Physical Therapist | 8230 Hazelbrand Rd Ne, Suite A, Covington, GA 30014-1502 | 2006-11-08 |
| 1780793588 | Jeffrey Ray Thomas | Dentist | 301 Jewett, Marshall, MN 56258 | 2006-08-29 |
| 1790793768 | Jeffrey Eric Thomas | Social Worker | 1318 Beacon Street #5, Brookline, MA 02446 | 2006-08-04 |
| 1487685988 | Jeffrey R Thomas | Optometrist | 2305 30th Ave, Kenosha, WI 53144-1411 | 2006-07-05 |
| 1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
| 1215935531 | Jeffrey J Thomas | Family Medicine | 8401 Constitution Ave Ne, Suite 150, Albuquerque, NM 87110-7604 | 2005-07-11 |
| 1457971509 | Jeffrey A Thomas Jr. | Student in an Organized Health Care Education/Training Program | 3959 Broadway, New York, NY 10032-1559 | 2020-04-19 |
| Street Address |
1814 NE 101ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3848 |
| 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 | 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.