MORRISON CHILD & FAMILY SERVICES (NPI# 1720344450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720344450 |
| Entity Type | Organization |
| Organization Name | MORRISON CHILD & FAMILY SERVICES |
| Practice Address |
9911 Se Mount Scott Blvd Portland OR 97266-6302 |
| Mailing Address |
6851 N Fessenden St. Apt 2 Portland OR 97203 |
| Practice Telephone | 5032334356 |
| Mailing Telephone | 7743640440 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | MS. AMBER ROSE LANDRY (RESIDENTIAL SKILLS SPECIALIST) |
| Authorized Official Telephone | 7743640440 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
9911 SE MOUNT SCOTT BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693295 | Sharon Dixie Mcconnell | Registered Nurse | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2006-01-16 |
| 1467078683 | Kevin Brezler | Assistant Behavior Analyst | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-06-23 |
| 1699395061 | Madison Baker | Student in an Organized Health Care Education/Training Program | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1134749500 | Rebecca Mae Williams | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-04-25 |
| 1194365056 | Victoria Gettel | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-08 |
| 1285273623 | Nelyda Saxton | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2020-01-02 |
| 1285279455 | Kyle Adelaide White | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-11-12 |
| 1225671837 | Justin Anthony Ingleton X | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-26 |
| 1972146389 | Jessica Romero-garcia | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-10-18 |
| 1568010379 | Paige Craine | Counselor | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2019-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
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| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758266 | Youth Guidance Association | Residential Treatment Facility, Emotionally Disturbed Children | 2730 Ne Flanders St, Portland, OR 97232-3160 | 2013-10-03 |
| 1306288071 | The Inn, Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 8940 Se 72nd Ave, Portland, OR 97206-9417 | 2013-07-23 |
| 1669666061 | Thelissa D Casley | Residential Treatment Facility, Emotionally Disturbed Children | 4818 Ne 101st Ave, Portland, OR 97220-3319 | 2007-08-29 |
| 1336795905 | Amy North | Residential Treatment Facility, Emotionally Disturbed Children | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-09 |
| 1710439740 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-10-25 |
| 1538570551 | Trillium Family Service | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2014-05-13 |
| 1619395530 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2014-03-29 |
| 1154686632 | Parry Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-07-10 |
| 1760766349 | Jennifer Garcia | Residential Treatment Facility, Emotionally Disturbed Children | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2011-09-30 |
| 1679800197 | Albertina Kerr Centers | Residential Treatment Facility, Emotionally Disturbed Children | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2009-11-04 |
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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.