PAIGE WOLLENZIEN (NPI# 1629597935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629597935 |
| Entity Type | Individual |
| Full Name | PAIGE WOLLENZIEN |
| Credential | MS, RD, LD |
| Practice Address |
830 Ne 47th Ave Portland OR 97213-2212 |
| Practice Telephone | 5032152233 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
OR | Dietary & Nutritional Service Providers |
| Street Address |
830 NE 47TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053408005 | Peter John Lax | Dentist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-09 |
| 1225521404 | Lydia Eve Jahn | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-06-12 |
| 1669970521 | Gabriela Barajas Quiroz | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-25 |
| 1053829663 | Carol Lipson Criswell | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-17 |
| 1649788241 | Diane Cervi | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2018-01-17 |
| 1740793579 | Katie Lynn Harris | Peer Specialist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2017-11-15 |
| 1831631753 | Darrick Stiff | Speech-Language Pathologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-11-09 |
| 1871042044 | Rebecca Spencer | Speech-Language Pathologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-09-28 |
| 1508313842 | Amy Grimm | Physical Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-09-02 |
| 1134676521 | Jennifer Victoria Morgan | Occupational Therapist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832713 | Jennifer Nickell | Dietitian, Registered | 9307 Sw 51st Ave, Portland, OR 97219-5118 | 2014-05-05 |
| 1932743127 | Sarah Virginia Lowe | Dietitian, Registered | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-10-31 |
| 1881244135 | Mallory Soares | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-18 |
| 1144705674 | Denise Crowley | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-10-01 |
| 1114414646 | Andrea Lyddane | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-19 |
| 1033651328 | Betty Katherine Casto Hynes | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-11-17 |
| 1982154043 | Mindy Smith | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-10-12 |
| 1841740727 | Lara Teresa Kerner | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-10-04 |
| 1720533516 | Amanda Margolin | Dietitian, Registered | 9155 Sw Barnes Rd, Suite 161, Portland, OR 97225-6625 | 2016-08-22 |
| 1104379163 | Anna Scott | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-07-26 |
| 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.