NORTH BY NORTHEAST COMMUNITY HEALTH CENTER (NPI# 1558792309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558792309 |
Entity Type | Organization |
Organization Name | NORTH BY NORTHEAST COMMUNITY HEALTH CENTER |
Practice Address |
3030 Ne Martin Luther King Jr Blvd Portland OR 97212-3053 |
Practice Telephone | 5039466380 |
Practice Fax Number | 5032877480 |
Mailing Telephone | 5039466380 |
Mailing Fax Number | 5032877480 |
Enumeration Date | 2013-12-04 |
Last Update Date | 2018-06-16 |
Authorized Official Name | SUZY JEFFREYS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5039466380 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD28650 | OR | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | NORTH BY NORTHEAST COMMUNITY HEALTH CENTER | 714 Ne Alberta St, Portland, OR 97211 |
Street Address |
3030 NE MARTIN LUTHER KING JR BLVD |
City | PORTLAND |
State | OR |
Zip Code | 97212-3053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
Find all providers in zip 97212 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
1023511698 | Housecall Md LLC | Clinic/Center | 3715 Sw Marquam Hill Rd, Portland, OR 97239-1454 | 2018-03-09 |
1053859959 | Vera Whole Health | Clinic/Center | 400 Sw 6th Ave, Suite 915, Portland, OR 97204-1628 | 2017-02-10 |
1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
1154725224 | Thriving Force, LLC | Clinic/Center | 4426 Ne 35th Ave, Portland, OR 97211-7735 | 2014-10-17 |
1679981070 | Roots Health Clinic LLC | Clinic/Center | 330 Ne 102nd Ave, Portland, OR 97220-4107 | 2014-07-29 |
1013256965 | Eveningstar Natural Health | Clinic/Center | 1750 Sw Harbor Way Ste 245, Portland, OR 97201-5167 | 2013-02-12 |
Find all providers in PORTLAND |
Please comment or provide details below to improve the information on NORTH BY NORTHEAST COMMUNITY HEALTH CENTER.
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.