MS. CHRISTINA EVANS GAGOSIAN (NPI# 1558897181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558897181 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA EVANS GAGOSIAN |
| Credential | OTR/L |
| Practice Address |
10300 Sw Greenburg Rd Suite 410 Portland OR 97223-5410 |
| Practice Telephone | 5035178555 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 381117 | OR | Other Service Providers |
| Street Address |
10300 SW GREENBURG RD SUITE 410 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487770764 | Brandon James Buckendorf | Speech-Language Pathologist | 10300 Sw Greenburg Rd, One Lincoln Center Ste 410, Portland, OR 97223-5410 | 2007-03-21 |
| 1902257710 | Kathryn Jordan Ware | Speech-Language Pathologist | 10300 Sw Greenburg Rd, Suite 410, Portland, OR 97223-5410 | 2016-06-23 |
| 1427414432 | Hello Clinic | Specialist | 10300 Sw Greenburg Rd, Portland, OR 97223-5410 | 2016-01-06 |
| 1992183867 | The Hello Foundation, LLC | Speech-Language Pathologist | 10300 Sw Greenburg Rd, Suite 401, Portland, OR 97223-5410 | 2015-05-12 |
| 1033524566 | Kathleen Engels Callaghan | Speech-Language Pathologist | 10300 Sw Greenburg Rd, One Lincoln Center, Suite 410, Portland, OR 97223-5410 | 2014-06-23 |
| 1386054625 | Quinn Ellingsen | Speech-Language Pathologist | 10300 Sw Greenburg Rd, One Lincoln Center, Suite 410, Portland, OR 97223-5410 | 2014-05-07 |
| 1457781577 | Marjorie Maffett | Speech-Language Pathologist | 10300 Sw Greenburg Rd, 410, Portland, OR 97223-5410 | 2013-11-26 |
| 1902042781 | Karen Julie Mckibbin | Psychologist | 10300 Sw Greenburg Rd, Suite 240, Portland, OR 97223-5410 | 2008-12-27 |
| 1164610663 | Erin Cook Moran | Psychologist | 10300 Sw Greenburg Rd, Suite 240, Portland, OR 97223-5410 | 2007-10-09 |
| 1932225166 | Tracy Jean Buckendorf | Speech-Language Pathologist | 10300 Sw Greenburg Rd, One Lincoln Center Ste 410, Portland, OR 97223-5410 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407388176 | First Class Therapy | Prevention Professional | 114 Faculty Hill Rd, Portland, TN 37148-4257 | 2017-03-31 |
| 1376083121 | Caroline Jean Caulfield | Prevention Professional | 14232 Se Mill Ct, Portland, OR 97233-2370 | 2017-02-27 |
| 1568002392 | Jennifer Liana Siegel | Prevention Professional | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-09 |
| 1558892471 | Kelly Mcmullen | Prevention Professional | 819 Se Morrison St, Suite 140, Portland, OR 97214-6307 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598299729 | Sarah Rebecca Miller | Prevention Professional | 16493 Bluewood Pl # 5, La Pine, OR 97739-7526 | 2017-04-13 |
| 1205446663 | Vivian June Shaw | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-31 |
| 1629687876 | Rachel Marie Hoptowit | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1841809134 | Nicole Grace Whiskeyjack | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2020-07-23 |
| 1750864229 | Abelardo Lozano | Prevention Professional | 46314 Timine Way, Pendleton, OR 97801-9417 | 2018-09-11 |
| 1194260927 | Forwardstride | Prevention Professional | 18218 Sw Horse Tale Dr, Beaverton, OR 97007-9789 | 2017-01-03 |
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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.