MISS ALISSA LYNN BAGAN (NPI# 1730374646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730374646 |
Entity Type | Individual |
Full Name | MISS ALISSA LYNN BAGAN |
Credential | M.S., QMHP |
Practice Address |
4246 Se Belmont St Portland OR 97215-1676 |
Practice Telephone | 5034458114 |
Enumeration Date | 2007-09-13 |
Last Update Date | 2010-11-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | R1909 | OR | Behavioral Health & Social Service Providers |
N | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
4246 SE BELMONT ST |
City | PORTLAND |
State | OR |
Zip Code | 97215-1676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811368384 | Samuel Oltman | Naturopath | 4246 Se Belmont St, Ste 5, Portland, OR 97215-1676 | 2015-10-09 |
1528471349 | Grain Integrative Health, LLC | Naturopath | 4246 Se Belmont St, Ste. 5, Portland, OR 97215-1676 | 2014-06-09 |
1184909699 | Dawn Marita Ley | Naturopath | 4246 Se Belmont St, Suite 5, Portland, OR 97215-1676 | 2011-10-15 |
1427336361 | James Livingston | Massage Therapist | 4246 Se Belmont St, Suite 5, Portland, OR 97215-1676 | 2011-07-26 |
1861706905 | Amber Packard | Mechanotherapist | 4246 Se Belmont St, Suite #5, Portland, OR 97215-1676 | 2010-07-30 |
1598090078 | Lindsay Meredith Baum | Naturopath | 4246 Se Belmont St, Suite 5, Portland, OR 97215-1676 | 2009-10-16 |
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 | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
1669001723 | Jennifer Melissa Moss | Marriage & Family Therapist | 12356 Ne Brazee St, Portland, OR 97230-1841 | 2020-04-02 |
1174153225 | Amanda Fitzpatrick | Marriage & Family Therapist | 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 | 2020-01-16 |
1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
1538716816 | Ayala Parker | Marriage & Family Therapist | 3540 Sw Boundary St, Portland, OR 97221-3817 | 2019-08-21 |
1720648363 | Alicia Roshelle Turgesen | Marriage & Family Therapist | 835 Se Stephens St Ste 202, Portland, OR 97214-4636 | 2019-06-17 |
1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
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.