JEANEEN MONTGOMERY (NPI# 1548519101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548519101 |
| Entity Type | Individual |
| Full Name | JEANEEN MONTGOMERY |
| Credential | CADC |
| Practice Address |
726 W Burnside St Portland OR 97209-3515 |
| Practice Telephone | 5039444410 |
| Mailing Telephone | 5039444410 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| 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) |
10-P-03 | OR | Behavioral Health & Social Service Providers |
| Street Address |
726 W BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639481005 | Kristen L Allen | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-13 |
| 1861041709 | Marissa Paige Donovan | Peer Specialist | 726 W Burnside St, Portland, OR 97209-3515 | 2019-09-04 |
| 1316457765 | Carli Boyd | Peer Specialist | 726 W Burnside St, Portland, OR 97209-3515 | 2017-10-11 |
| 1760867659 | Kevin Shank | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2015-07-21 |
| 1467885350 | Eric Oswald | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2013-08-14 |
| 1255680872 | Kathleen Schreiter | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2012-08-29 |
| 1427324466 | Central City Concern | Clinic/Center | 726 W Burnside St, Portland, OR 97209-3515 | 2012-03-23 |
| 1326353608 | Renee Kayhan Penton | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-08-11 |
| 1679886964 | Roderick Walpole Taunton | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-15 |
| 1568774974 | Robert Joe Tsow | Counselor | 726 W Burnside St, Portland, OR 97209-3515 | 2010-07-14 |
| 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 | 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.