KIMBERLY M CROW (NPI# 1710355755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710355755 |
| Entity Type | Individual |
| Full Name | KIMBERLY M CROW |
| Practice Address |
6018 Se Stark St Portland OR 97215-1990 |
| Mailing Address |
2314 Se Ash St Portland OR 97214-1634 |
| Practice Telephone | 5035056423 |
| Mailing Telephone | 5035056423 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16-06-08 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C5099 | OR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C5099 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Se 7th Ave, Portland, OR 972141200 | 5032350131 | 5032397390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780919183 | Kimberly Jo Crow | Pharmacist | 3701 High Point Rd, Greensboro, NC 27407-4627 | 2009-10-02 |
| 1710120969 | Kimberly Kay Crow | Nurse Practitioner | 504 Mccurdy Ave S, Rainsville, AL 35986-5254 | 2009-04-16 |
| 1083800718 | Kimberly Walker Crow | Counselor | 5588 Berry Brook Cir, Pace, FL 32571-6321 | 2007-09-17 |
| 1649620782 | Kimberly Crow | Counselor | 800 Spring St Ste 215, Shreveport, LA 71101-3757 | 2016-06-20 |
| Street Address |
6018 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003908120 | Kimberly Susan Shotz | Acupuncturist | 6018 Se Stark St, Ste 103, Portland, OR 97215-1990 | 2006-09-28 |
| 1174169890 | Pacnorthwest Counseling | Clinic/Center | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-11-19 |
| 1619520566 | Renee Barnett | Counselor | 6018 Se Stark St, Portland, OR 97215-1990 | 2019-07-19 |
| 1700365541 | Elizabeth Lenkeit Hoke | Marriage & Family Therapist | 6018 Se Stark St, Portland, OR 97215-1990 | 2018-08-13 |
| 1316484355 | Miho Hatanaka | Dietitian, Registered | 6018 Se Stark St, Portland, OR 97215 | 2017-01-29 |
| 1770956484 | Charlotte Elisabeth Kahler | Massage Therapist | 6018 Se Stark St, Suite 103, Portland, OR 97215-1990 | 2015-11-03 |
| 1518335280 | Amia Huang | Psychologist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-09-10 |
| 1285016451 | Tabor View Health and Wellness | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-06-24 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1003206095 | Aaron M Guzik | Chiropractor | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
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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.