MR. MATTHEW WAYNE THEELER SR. (NPI# 1639225071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639225071 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW WAYNE THEELER SR. |
| Credential | CADC1 |
| Practice Address |
399 Young St Woodburn OR 97071-4817 |
| Mailing Address |
665 Greencrest St Ne Ne Salem OR 97301-4982 |
| Practice Telephone | 5039815265 |
| Practice Fax Number | 5039818736 |
| Mailing Telephone | 5033710059 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 04-07-46 | OR | Other Service Providers |
| Street Address |
399 YOUNG ST |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396822763 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 399 Young St, Woodburn, OR 97071-4817 | 2006-11-01 |
| 1083800197 | Daniel Alvarado | Counselor | 399 Young St, Woodburn, OR 97071-4817 | 2007-09-21 |
| 1790822351 | Rigoberto E Contreras | Counselor | 399 Young St, Woodburn, OR 97071-4817 | 2007-01-31 |
| 1932246543 | Cascadia Behavioral Health Care | Health Maintenance Organization | 399 Young St, Woodburn, OR 97071-4817 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674397 | Dylan Jessen | Case Manager/Care Coordinator | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-09-17 |
| 1437643962 | Alma J Fernandez- Vilegas | Case Manager/Care Coordinator | 1320 Meridian Dr, Woodburn, OR 97071-9668 | 2018-06-18 |
| 1639662752 | Mandy M Ross | Case Manager/Care Coordinator | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-06-13 |
| 1346526712 | Jose Garcia-mendez | Case Manager/Care Coordinator | 976 N Pacific Hwy, Woodburn, OR 97071-3731 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104539 | Jessica Laine | Case Manager/Care Coordinator | 1724 Maple St Apt 7, North Bend, OR 97459-2171 | 2020-08-14 |
| 1083232862 | Olivia Suzanne Botsford | Case Manager/Care Coordinator | 2369 Nw Schmidt Way Apt 117, Beaverton, OR 97006-4775 | 2020-07-08 |
| 1255958674 | Kathy Hays | Case Manager/Care Coordinator | 17887 Sw Bryan Way, Beaverton, OR 97007-6728 | 2020-07-01 |
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| 1659910073 | Kristin Anne Contreras | Case Manager/Care Coordinator | 4850 Sw 11th St Apt 110, Gresham, OR 97080-7312 | 2020-01-02 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
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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.