MS. KIMBERLY A CONROW (NPI# 1497893143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497893143 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY A CONROW |
| Other Name | MRS. KIMBERLY A WALEN |
| Credential | MA, LPC, CADC-1 |
| Practice Address |
818 Nw 17th Ave Suite 1 Portland OR 97209-2327 |
| Mailing Address |
1552 N Simpson St Portland OR 97217-4653 |
| Practice Telephone | 5032480011 |
| Practice Fax Number | 5032333883 |
| Mailing Telephone | 5034221789 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2131 | OR | Behavioral Health & Social Service Providers |
| Street Address |
818 NW 17TH AVE SUITE 1 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225085194 | Joseph Anthony Balsamo | Psychologist | 818 Nw 17th Ave, Portland, OR 97209-2327 | 2006-05-27 |
| 1073953014 | Tim John Hagge | Social Worker | 818 Nw 17th Ave, Suite 10, Portland, OR 97209-2327 | 2013-07-03 |
| 1699039677 | Molly Pearl Owen Peters | Massage Therapist | 818 Nw 17th Ave, Suite 6, Portland, OR 97209 | 2012-06-25 |
| 1427355270 | R. M. Andrews & Associates LLC | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2011-02-14 |
| 1750513487 | Robert M Andrews | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2009-08-13 |
| 1053581702 | Ruth Friedel | Psychologist | 818 Nw 17th Ave, #2, Portland, OR 97209-2327 | 2008-03-10 |
| 1043362163 | Lyn Mcneill Jenks | Psychologist | 818 Nw 17th Ave, Portland, OR 97209 | 2007-01-17 |
| 1316001886 | Joyce A. Korschgen, Lpc, PC | Counselor | 818 Nw 17th Ave, Suite #3, Portland, OR 97209-2327 | 2006-12-20 |
| 1275636680 | Ben Christopher Jew | Psychiatry & Neurology | 818 Nw 17th Ave, Suite #8, Portland, OR 97209-2327 | 2006-09-07 |
| 1073538021 | John Collins Flanagan | Counselor | 818 Nw 17th Ave, Suite 7, Portland, OR 97209-2327 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MS. KIMBERLY A CONROW.
| 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.