CLIFF SMITHERS (NPI# 1417315201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417315201 |
Entity Type | Individual |
Full Name | CLIFF SMITHERS |
Credential | QMHA, CPSS |
Practice Address |
4105 Se International Way Ste 501 Milwaukie OR 97222-8855 |
Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
Practice Telephone | 5034963201 |
Practice Fax Number | 5034963208 |
Mailing Telephone | 5036453581 |
Mailing Fax Number | 5036298517 |
Enumeration Date | 2016-02-08 |
Last Update Date | 2018-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
4105 SE INTERNATIONAL WAY STE 501 |
City | MILWAUKIE |
State | OR |
Zip Code | 97222-8855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346490729 | Joshua Allen Furtado | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2008-09-23 |
1356966345 | Matthew Burns | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2020-06-15 |
1861016933 | Melissa Louise Barnett | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2020-06-03 |
1093365256 | Maria Briley | Registered Nurse | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-09-18 |
1376199026 | Anne Agriesti | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-08-16 |
1689227704 | Kylie Shay Mcdermott | Occupational Therapist | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-07-17 |
1427614346 | Madison Marie Cock | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-05-15 |
1942735675 | Kevin Christaldi | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2017-05-01 |
1245777457 | Katie Sichley | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2017-01-25 |
1730532649 | Jason Southmayd | Registered Nurse | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2016-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
Find all providers in zip 97222 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982175378 | Tye Dewald | Peer Specialist | 11073 Se Main St, Milwaukie, OR 97222-7645 | 2018-12-10 |
1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
1891246872 | Margaret Barnett | Peer Specialist | 4550 Se King Rd, Milwaukie, OR 97222-5233 | 2016-10-14 |
1902411481 | Jesus Jassed Nunez-pineda | Peer Specialist | 11073 Se Main St, Milwaukie, OR 97222-7645 | 2020-09-11 |
1477170892 | Jasper Adams | Peer Specialist | 11073 Se Main St, Milwaukie, OR 97222-7645 | 2020-07-01 |
1508483223 | Nikobi Petronelli | Peer Specialist | 11073 Se Main St, Milwaukie, OR 97222-7645 | 2020-06-29 |
1407358799 | Solmaira Trujillo | Peer Specialist | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2018-03-02 |
1578065868 | Darrin Hernandez | Peer Specialist | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2018-03-02 |
1629584529 | Mark Rioux | Peer Specialist | 2808 Se Balfour St, Milwaukie, OR 97222-6426 | 2017-12-14 |
1366963860 | Lauren Conn | Peer Specialist | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2017-07-05 |
Find all providers in MILWAUKIE |
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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.