CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE


Address: 3570 Sw River Pkwy, Portland, OR 97239-4534
Phone: 8884182993

CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE (NPI# 1649712571) 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) 1649712571
Entity Type Organization
Organization Name CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE
Practice Address 3570 Sw River Pkwy
Portland
OR 97239-4534
Mailing Address 12655 Sw Center St Ste 150
Beaverton
OR 97005-1864
Practice Telephone 8884182993
Practice Fax Number 8884182994
Mailing Telephone 8884182993
Mailing Fax Number 8884182994
Enumeration Date 2016-11-09
Last Update Date 2017-01-17
Authorized Official Name MS. DENISE J FOLSTON (BILLING SPECIALIST)
Authorized Official Telephone 5416208170
Is Organization Subpart Y
Parent Organization Name SIMAS LIMITED/PSYCHIATRIST ON-CALL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD165076 OR Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE, LLC 12655 Sw Center St Ste 150, Beaverton, OR 97005

Office Location

Street Address 3570 SW RIVER PKWY
City PORTLAND
State OR
Zip Code 97239-4534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053556035 Ching-wen Angela Chang Radiology 3570 Sw River Pkwy, Unit 1509, Portland, OR 97239-4534 2008-12-04
1295047751 Diane Desylvia Counselor 3570 Sw River Pkwy, Ste. 1709, Portland, OR 97239-4534 2010-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447878947 Celia Mantovani Psychiatry & Neurology 15 Cypress St, Portland, ME 04103-2008 2020-07-10
1538782834 Endeavor Psychiatry LLC Psychiatry & Neurology Sw, Portland, OR 97219-5885 2020-05-20
1154942142 Prisma Wellness LLC Psychiatry & Neurology 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 2020-04-30
1588291082 Alexis Family Psychiatry, LLC Psychiatry & Neurology 415 Congress St Ste 202a, Portland, ME 04101-3500 2020-03-24
1881188084 Geriatric Psychiatry Associates Psychiatry & Neurology 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 2018-06-20
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1154839108 Cascade Tms LLC Psychiatry & Neurology 205 Se Spokane St Ste 301, Portland, OR 97202-6487 2018-01-11
1538601737 Diana S Domnitei Md LLC Psychiatry & Neurology 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 2016-11-06
1104286269 Anne Fleming, Md, LLC Psychiatry & Neurology 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 2016-03-02
1417338708 Andrew Justin Ruege Psychiatry & Neurology 5421 Sw Patton Rd, Portland, OR 97221-2226 2015-06-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

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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