ROBERTA LEE MCKENNEY (NPI# 1699315523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699315523 |
| Entity Type | Individual |
| Full Name | ROBERTA LEE MCKENNEY |
| Practice Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Mailing Address |
19435 Nw Mahama Way Apt A Portland OR 97229-3140 |
| Practice Telephone | 5036453581 |
| Mailing Telephone | 3606448220 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14600 NW CORNELL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467408013 | Lifeworks Nw | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2006-05-25 |
| 1083213771 | Rebecca Saunders | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
| 1225637986 | Nicholas David Carter | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
| 1720686223 | Ruby Benner | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-15 |
| 1326654898 | Lindsy Jean Brownson | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-21 |
| 1689280554 | Elizabeth Cady Yu Louise Handley | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-16 |
| 1184238024 | Clark Hazel | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-08 |
| 1942813704 | Juliana Marler | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-30 |
| 1508479478 | Kevin I Lay | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-28 |
| 1144833674 | Alyssa Pataki | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
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| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025779 | Ghayda Aboasha | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1215439807 | Christopher Allen Lane | Technician, Other | 4949 Sw Macadam Ave Ste 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1932617149 | Haley Ann Moore | Technician, Other | 4949 Sw Macadam Ave, Portland, OR 97239-3912 | 2018-01-22 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1306391651 | Andy Jay Caoile | Technician, Other | 809 Ne 151st Ave, Portland, OR 97230-4712 | 2016-08-16 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1649624719 | Janna Norberg | Technician, Other | 3237 Ne 79th Ave, Portland, OR 97213-6527 | 2016-04-14 |
| 1669847729 | Heidi Schmidt | Technician, Other | 2717 Ne Broadway St, Portland, OR 97232-1722 | 2015-12-01 |
| 1629311865 | Jacqueline Marie | Technician, Other | 5408 Se 111th Ave, Portland, OR 97266-4148 | 2013-04-05 |
| 1720377971 | Physician Directed Services, Inc. | Technician, Other | 3030 Sw 10th Ave Apt 20, Portland, OR 97239-3085 | 2011-03-28 |
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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.