CHARLOTTE VANCLEVE


Address: 1312 Sw Washington St, Portland, OR 97205-2327
Phone: 5035351150

CHARLOTTE VANCLEVE (NPI# 1669865168) 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) 1669865168
Entity Type Individual
Full Name CHARLOTTE VANCLEVE
Credential PMHNP
Practice Address 1312 Sw Washington St
Portland
OR 97205-2327
Practice Telephone 5035351150
Practice Fax Number 5035351192
Enumeration Date 2015-03-09
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201909205NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1312 SW WASHINGTON ST
City PORTLAND
State OR
Zip Code 97205-2327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992844203 Tim C Gilles Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2007-02-05
1144836362 Ellen Corinne Dungy Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-22
1568077352 Kori Hill Student in an Organized Health Care Education/Training Program 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-09
1013521673 Claire Whigham Marriage & Family Therapist 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-01
1871105775 Haylee Bush Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-08-20
1780206615 Fikirte Asefa Belew II Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-05-14
1639791999 Todd Yates Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-05-10
1366072001 Shnonya Holiman Peer Specialist 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-22
1841820735 Adrian Herrera Gonzalez Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-21
1346880614 Brandon James Pettit Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97205

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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