STEPHANIE ANN BURK (NPI# 1417451220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417451220 |
Entity Type | Individual |
Full Name | STEPHANIE ANN BURK |
Other Name | STEPHANIE MILLER |
Credential | CADC II, CRC |
Practice Address |
4310 Ne Killingsworth St Portland OR 97218-1404 |
Mailing Address |
Po Box 3007 Portland OR 97208-3007 |
Practice Telephone | 5035351150 |
Practice Fax Number | 5035280800 |
Mailing Telephone | 5035351150 |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14-03-26 | OR | Behavioral Health & Social Service Providers |
Street Address |
4310 NE KILLINGSWORTH ST |
City | PORTLAND |
State | OR |
Zip Code | 97218-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922149699 | June Stinson Mccandless | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2007-02-08 |
1861022444 | Alexander Sundermeier | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2020-01-22 |
1144860966 | Nikki Laine Gray | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2020-01-09 |
1770148173 | Emily Miller Short | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2019-05-01 |
1649773417 | Ashley Cohen | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2018-03-17 |
1770007635 | Whitney Ann Fabrizio | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2017-08-01 |
1982125514 | Stefan Goldberg | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2017-07-05 |
1699202747 | Hansung Yang | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2017-05-20 |
1689115719 | Lindsay Morris | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2017-03-08 |
1942749908 | Bethany Hoeffner | Counselor | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2017-02-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
Find all providers in zip 97218 |
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.