MATTHEW BAILEY (NPI# 1679056204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679056204 |
| Entity Type | Individual |
| Full Name | MATTHEW BAILEY |
| Credential | MSW, LSW, CPRP |
| Practice Address |
4101 Ne Division St Gresham OR 97030-4617 |
| Mailing Address |
5035 Foothills Rd Apt J Lake Oswego OR 97034-4125 |
| Practice Telephone | 5036663808 |
| Mailing Telephone | 8146028140 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330844 | Matthew Bailey | Counselor | 8900 Eastloch Dr Ste 220-k, Spring, TX 77379-2337 | 2019-01-22 |
| 1811493802 | Matthew Joseph Bailey | Emergency Medical Technician, Basic | 3203 Highway 52, Moncks Corner, SC 29461-5055 | 2018-03-30 |
| 1295107894 | Matthew Bailey | Specialist/Technologist, Other | 2109 Yorktown Ct S, League City, TX 77573-5061 | 2015-10-22 |
| 1902036189 | Matthew Scott Bailey | Chiropractor | 1100 Liberty St Se, Suite 2, Salem, OR 97302-4154 | 2009-07-21 |
| 1881650430 | Matthew Curtis Bailey | Chiropractor | 16846 W Bell Rd, Suite 112, Surprise, AZ 85374-3052 | 2006-04-24 |
| 1841890217 | Matthew Bailey | Pharmacist | 5605 University Town Centre Dr, Morgantown, WV 26501-2473 | 2020-10-27 |
| 1720690621 | Matthew D Bailey | Pharmacist | 1550 S Highway 29, Cantonment, FL 32533-6408 | 2020-08-20 |
| 1043862642 | Matthew Bailey | Nurse Practitioner | 1900 Electric Rd, Salem, VA 24153-7474 | 2019-07-12 |
| 1396228003 | Matthew Michael Bailey | Occupational Therapy Assistant | 900 S Beacon Blvd, Grand Haven, MI 49417-2146 | 2018-09-09 |
| 1386878080 | Matthew Bruce Bailey | Surgery | 1221 S Broadway, Lcsb - 2, Lexington, KY 40504-2701 | 2009-05-08 |
| Street Address |
4101 NE DIVISION ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041682 | Hiren T Rana | Psychiatry & Neurology | 4101 Ne Division St, Gresham, OR 97030-4617 | 2005-05-31 |
| 1356941553 | Charlene Marie Zaharakis | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2020-10-27 |
| 1225677248 | Dmitriy Flato | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-12-23 |
| 1356988158 | James Calcagno | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-30 |
| 1417593138 | Jennifer Trottier | Specialist/Technologist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-19 |
| 1902441959 | Michael Joseph Myers | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1669017513 | Shaylene Tamara Waggoner | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1861950024 | Bridget Mary Murray | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-03-06 |
| 1124585849 | Natalia K Burgess | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-02-28 |
| 1083181093 | Lori Janeen Rich | Peer Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236628 | Ramon Benton | Counselor | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2018-02-21 |
| 1316450265 | Philisia Roquez | Counselor | 621 Ne Kane Dr Apt 102, Gresham, OR 97030-5968 | 2017-11-14 |
| 1184142283 | Jami L Stephens | Counselor | 406 Ne 4th St Ste 110, Gresham, OR 97030-7496 | 2017-09-08 |
| 1770940645 | Kristen Brooke Beck | Counselor | 406 Ne 4th St Ste 126, Gresham, OR 97030-7496 | 2016-01-24 |
| 1932565363 | Cheyenne Marie Jones | Counselor | 254 Nw Burnside Rd Ste 230, Gresham, OR 97030-3836 | 2016-01-14 |
| 1679939920 | Alycia Smith | Counselor | 320 N Main Ave Ste 201d, Gresham, OR 97030-7242 | 2015-12-31 |
| 1538530159 | Jamie Saechao | Counselor | 429 Se 218th Ave, Gresham, OR 97030-8502 | 2015-10-08 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1346649860 | Jade Elisabeth Elaine Thayer | Counselor | 847 Se Francis Ave, Gresham, OR 97080-1343 | 2014-08-20 |
| 1639429137 | Janet Elaine Young | Counselor | 32300 Se Bluff Rd, Gresham, OR 97080-8822 | 2012-09-12 |
| Find all providers in GRESHAM | ||||
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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.