MICHAEL JAMES DE HART


Address: 30 Ne Mlk Blvd, Portland, OR 97232-2941
Phone: 5032321099

MICHAEL JAMES DE HART (NPI# 1639791817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639791817
Entity Type Individual
Full Name MICHAEL JAMES DE HART
Practice Address 30 Ne Mlk Blvd
Portland
OR 97232-2941
Mailing Address 1230 Se Morrison St Apt B14
Portland
OR 97214-2434
Practice Telephone 5032321099
Enumeration Date 2020-05-11
Last Update Date 2020-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 30 NE MLK BLVD
City PORTLAND
State OR
Zip Code 97232-2941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982016382 Andrew M Given Registered Nurse 30 Ne Mlk Blvd, Portland, OR 97232-2941 2014-05-20
1568086189 Tammy Lou Bell Peer Specialist 30 Ne Mlk Blvd, Portland, OR 97232-2941 2020-05-29
1639792229 Megan Robinson Specialist 30 Ne Mlk Blvd, Portland, OR 97232-2941 2020-05-19
1013530609 Tyler William Hernandez Kadell Case Manager/Care Coordinator 30 Ne Mlk Blvd, Portland, OR 97232-2941 2020-05-18
1952923047 Janelle Eileen Bello Peer Specialist 30 Ne Mlk Blvd, Portland, OR 97232-2941 2020-05-12
1760004949 Rebekka Kruse Peer Specialist 30 Ne Mlk Blvd, Portland, OR 97232-2941 2020-05-11
1316503485 Melissa L Thomas Art Therapist 30 Ne Mlk Blvd, Portland, OR 97232-2941 2019-05-14
1285129627 Rachel Leigh Marie Johnson Registered Nurse 30 Ne Mlk Blvd, Portland, OR 97232-2941 2018-06-28
1912406448 Miho Lucille Walker Registered Nurse 30 Ne Mlk Blvd, Portland, OR 97232-2941 2018-02-10
1417485962 Jennifer Sue Hickman Registered Nurse 30 Ne Mlk Blvd, Portland, OR 97232-2941 2017-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1245896307 Anthony James Hardy Peer Specialist 10336 Ne Wygant St, Portland, OR 97220-3368 2019-05-14
1881155596 Laray Jermaine Thomas Peer Specialist 11509 Se Stephens St, Portland, OR 97216-3660 2019-03-26
1932684248 Dorothy Joanna Burton Peer Specialist 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 2018-10-02
1750886255 Steven Wade Peer Specialist 4512 Ne Portland Hwy, Portland, OR 97218-1363 2018-03-27
1669991212 Kimberly Jaye Randall Peer Specialist 17214 Se Division St Ste 2, Portland, OR 97236-1282 2017-09-14
1689103897 Walter Bulter Peer Specialist 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 2017-06-09
1306373543 Brenda Kay Mitchell Peer Specialist 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 2017-05-18
1760914493 Changing Perceptions Peer Specialist 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 2017-03-31
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Competitor

Search similar providers

City PORTLAND
Zip Code 97232

Improve Information

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Dataset Information

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.

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