DR. CHARLES WAY HARRISON (NPI# 1437131646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437131646 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAY HARRISON |
| Credential | PH.D. |
| Practice Address |
1210 Se Oak St Portland OR 97214-1427 |
| Mailing Address |
Po Box 17658 Portland OR 97217-0658 |
| Practice Telephone | 5039750014 |
| Practice Fax Number | 5032837085 |
| Mailing Telephone | 5039750014 |
| Mailing Fax Number | 5032837085 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2015-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1148 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500612148 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588942585 | Charles Harrison | Psychologist | 13123 E 16th Ave # B505, Aurora, CO 80045-7106 | 2011-07-26 |
| 1518282433 | Charles Harrison | Pharmacist | 918 Morgan Ave Sw, Cullman, AL 35055-4617 | 2010-04-03 |
| 1578715868 | Charles Scott Harrison | Orthopaedic Surgery | 701 Bosler Ave, Lemoyne, PA 17043-1819 | 2008-10-17 |
| 1518523877 | Charles William Harrison Jr. | Social Worker | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-13 |
| 1215405550 | Charles Harrison | Social Worker | 1855 E Dublin Granville Rd, Columbus, OH 43229-3516 | 2018-11-05 |
| 1760971816 | Charles Joseph Harrison | Internal Medicine | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2018-05-04 |
| 1083015812 | Charles Harrison | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2014-09-11 |
| 1265776561 | Charles Elbert Harrison IIi | Massage Therapist | 1450 Crystal Lake Rd, Aspen, CO 81611-2255 | 2012-11-27 |
| 1720159288 | Charles Simeon Harrison | Surgery | 716 Adair Ave, Zanesville, OH 43701-2836 | 2006-11-13 |
| 1528156155 | Charles Michael Harrison | Anesthesiology | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2006-10-10 |
| Street Address |
1210 SE OAK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093078677 | David Michael Martin | Counselor | 1210 Se Oak St, Suite 3, Portland, OR 97214-1427 | 2012-06-19 |
| 1215299565 | Lisa Marie Koralewicz | Social Worker | 1210 Se Oak St, Portland, OR 97214-1427 | 2012-06-12 |
| 1326322702 | Aziz Gazipura | Psychologist | 1210 Se Oak St, Suite 1, Portland, OR 97214-1427 | 2011-10-04 |
| 1982909438 | Jamie Young | Psychologist | 1210 Se Oak St, Portland, OR 97214 | 2011-01-13 |
| 1215258496 | Kerry Lee Powers | Counselor | 1210 Se Oak St, Suite 5, Portland, OR 97214-1427 | 2010-06-22 |
| 1194966523 | Serena Barton | Counselor | 1210 Se Oak St, Portland, OR 97214-1427 | 2009-03-15 |
| 1558513846 | Diane Havnen-smith | Social Worker | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-10-17 |
| 1619123148 | Tracey Hoffman | Psychologist | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-08-15 |
| 1568627875 | Christina Lynn Zimmerman | Counselor | 1210 Se Oak St, Portland, OR 97214-1427 | 2008-07-25 |
| 1104099464 | Dr Tracey Hoffman & Associates PC | Psychologist | 1210 Se Oak St, Portland, OR 97214 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| 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.