MRS. AMY GROULX (NPI# 1578108940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578108940 |
| Entity Type | Individual |
| Full Name | MRS. AMY GROULX |
| Practice Address |
5506 Se Mitchell St Portland OR 97206 |
| Mailing Address |
5506 Se Mitchell St Portland OR 97206-4844 |
| Practice Telephone | 5037749512 |
| Mailing Telephone | 5037749512 |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5506 Se Mitchell St, Portland, OR 97206 | 5037749512 |
| Street Address |
5506 SE MITCHELL ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| 1063774990 | Molly A Norris | Massage Therapist | 6217 Se Harold St, Portland, OR 97206 | 2012-06-15 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1700437142 | Marta Lynn Christensen Laven | Technician | 1075 Nw Northrup St Unit 2317, Portland, OR 97209-3688 | 2019-09-26 |
| 1265083000 | Sheyla Cox | Technician | 1042 Se 191st Ave, Portland, OR 97233-5925 | 2019-09-24 |
| 1851942940 | Michelle Hayward | Technician | 7805 Se Franklin St, Portland, OR 97206-2340 | 2019-09-20 |
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1124633359 | Tessa Reinhart | Technician | 2270 Nw Overton St, Portland, OR 97210-2927 | 2020-09-14 |
| 1639793292 | David Allen Bennett | Technician | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1477199537 | Shane A Marx | Technician | 6200 Poplar Ln, Independence, OR 97351-9659 | 2019-11-25 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. AMY GROULX.
| 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.