YOUNG EAST ASIAN MEDICINE, LLC (NPI# 1568761344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568761344 |
| Entity Type | Organization |
| Organization Name | YOUNG EAST ASIAN MEDICINE, LLC |
| Other Organization Name | WELLNESS AT THE CENTER |
| Practice Address |
8931 Se Foster Rd Suite 102 Portland OR 97266-4661 |
| Mailing Address |
11731 Se Lexington St Portland OR 97266-5935 |
| Practice Telephone | 5032557000 |
| Practice Fax Number | 5032557001 |
| Mailing Telephone | 5032557000 |
| Mailing Fax Number | 5032557001 |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DIXIE LEIGH YOUNG SMALL (OWNER YOUNG EAST ASIAN MEDICINE) |
| Authorized Official Telephone | 5039848301 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AC01277 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500653508 | 05 |
| Other Name | Type Code |
|---|---|
| Wellness At The Center | Doing Business As Name - Organization |
| Street Address |
8931 SE FOSTER RD SUITE 102 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-4661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588374 | Julie Ann Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2005-12-08 |
| 1588147490 | Alissa Fields Chiropractic, LLC | Chiropractor | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2018-09-07 |
| 1053764910 | Estrellita Gitzen Ramirez | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2016-07-15 |
| 1457791592 | Kyle Andrew Malloy | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2013-07-03 |
| 1841585593 | Raymond Bernard Tucker | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2011-06-10 |
| 1962634857 | Dixie L.y. Small | Acupuncturist | 8931 Se Foster Rd, Ste 102, Portland, OR 97266-4661 | 2009-08-11 |
| 1427102276 | Tracy Herion | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2007-01-22 |
| 1164595930 | Rajiv Ramchandra Paonaskar | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-11-17 |
| 1033213657 | Thao Minhphoung Chu | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-09-12 |
| 1841250545 | Robert Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1548309776 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1023 Ne Emerson St, Portland, OR 97211-4336 | 2007-02-05 |
| 1144369356 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3909 Se 70th Avenue, Portland, OR 97206-2525 | 2007-02-05 |
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
| 1215006606 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2006-11-07 |
| 1982783965 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7003 Se Woodstock Blvd, Portland, OR 97206-5940 | 2006-11-02 |
| 1225115595 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 1232 Nw 23rd Ave, Portland, OR 97210-2906 | 2006-11-01 |
| 1710064035 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 2270 Se 39th Ave, Portland, OR 97214-5916 | 2006-11-01 |
| 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.