MICHAEL TELANOFF (NPI# 1629463781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629463781 |
| Entity Type | Individual |
| Full Name | MICHAEL TELANOFF |
| Practice Address |
5000 N Willamette Blvd Portland OR 97203-5743 |
| Practice Telephone | 5039437211 |
| Mailing Telephone | 5039437211 |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2015-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 201340080RN | OR | Student, Health Care |
| Street Address |
5000 N WILLAMETTE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203-5743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630408 | Joel James Marick | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2007-02-28 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1730792409 | Ashley Lisa Thiessen | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-08-24 |
| 1487262077 | Emily Elias | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-07-20 |
| 1871115469 | Kristina Diane Miller | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-05-18 |
| 1720614878 | Colleen Christine French | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-03-20 |
| 1306493341 | Sarah Faye Curde | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-08-23 |
| 1962056556 | Stephanie Lynn Jacobson | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-07-31 |
| 1104481175 | Kellie Elizabeth Wilcox | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2019-05-06 |
| 1821584871 | Ryan O'connell | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2018-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
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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.