REBECCA KLASSY (NPI# 1629679444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629679444 |
| Entity Type | Individual |
| Full Name | REBECCA KLASSY |
| Practice Address |
7916 Se Foster Rd Ste 201 Portland OR 97206-4289 |
| Mailing Address |
Po Box 16576 Portland OR 97292-0576 |
| Practice Telephone | 5034652749 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T-20-328 | OR | Behavioral Health & Social Service Providers |
| Street Address |
7916 SE FOSTER RD STE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326410986 | Bridges To Change | Community/Behavioral Health | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2015-10-22 |
| 1841898467 | Jason Stutzman | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-15 |
| 1336747021 | Jason Goldberg | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-14 |
| 1477150019 | Jesse Farr-baenziger | Counselor | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-07 |
| 1023625233 | Jeffrey Feldes | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-09-30 |
| 1396358933 | Rena Williams | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-24 |
| 1861003543 | Isaac Salazar | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-14 |
| 1093326977 | Allie Mendez | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-08-13 |
| 1649898719 | Denise Bare | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-07-06 |
| 1720606890 | Robert Boeckel | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 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 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.