ANNA CECELIA BOX (NPI# 1629698576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629698576 |
| Entity Type | Individual |
| Full Name | ANNA CECELIA BOX |
| Credential | RN/QMHP |
| Practice Address |
17640 Ne Halsey St Portland OR 97230-6733 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5034895045 |
| Practice Fax Number | 5034895638 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
202001487RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881066264 | Anna Brooke Box | Nurse Practitioner | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 | 2015-10-26 |
| Street Address |
17640 NE HALSEY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-6733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992885453 | Gerald Allen | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2006-10-17 |
| 1407413818 | Brandon D Bell | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2019-05-21 |
| 1437673803 | Sonova Aiken | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2017-07-27 |
| 1093236358 | Amanda Dreher | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2017-06-27 |
| 1316472251 | Pauline Manglona | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2017-04-28 |
| 1790135788 | Brittni Medeiros | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-06-21 |
| 1134573710 | Mariah Barcinas | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-04-20 |
| 1881054153 | Megan Van Wagoner | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-03-01 |
| 1306204193 | Andrew Black | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| 1215395009 | Tinesha Booker | Counselor | 17640 Ne Halsey St, Portland, OR 97230-6733 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747607 | Kendall Clayton Karch | Registered Nurse | 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 | 2019-12-12 |
| 1275810665 | Esther Gabrielle Rosengarten | Registered Nurse | 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 | 2011-11-14 |
| 1679890651 | Caroline Jones Redstone | Registered Nurse | 106 Sw Woods St, Portland, OR 97201-4739 | 2010-04-29 |
| 1053643775 | Diane Vines | Registered Nurse | 3880 Se 8th Ave, Suite 110, Portland, OR 97202-3772 | 2010-02-04 |
| 1013190081 | Kristin Lois Cummings | Registered Nurse | 5329 Ne Martin Luther King Blvd, Portland, OR 97211-3237 | 2007-12-12 |
| 1184818080 | Jacob Balinky | Registered Nurse | 3716 Ne Mlk Blvd, Portland, OR 97212-1111 | 2007-09-04 |
| 1467533778 | Patricia J. Osborne | Registered Nurse | 916 Sw King Ave, Suite 206, Portland, OR 97205-1303 | 2006-10-17 |
| 1780646430 | Marianne Decain Tarraza | Registered Nurse | 165 Lancaster St, Portland, ME 04101-2406 | 2006-04-06 |
| 1477162717 | Lynda Long | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-07-22 |
| 1447877352 | Shannon Barnicle | Registered Nurse | 62 Elm St, Portland, ME 04101-3091 | 2020-06-26 |
| 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.