STEPHANIE ANN BURK


Address: 4310 Ne Killingsworth St, Portland, OR 97218-1404
Phone: 5035351150

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4310 NE KILLINGSWORTH ST
City PORTLAND
State OR
Zip Code 97218-1404

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97218

Improve Information

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Dataset Information

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.

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