GARY D WARNOCK


Address: 3910 Se Stark St, Portland, OR 97214-3214
Phone: 5032358655

GARY D WARNOCK (NPI# 1740484286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740484286
Entity Type Individual
Full Name GARY D WARNOCK
Credential CADC I
Practice Address 3910 Se Stark St
Portland
OR 97214-3214
Mailing Address 3910 Se Stark St
Portland
OR 97214-3241
Practice Telephone 5032358655
Mailing Telephone 5032358655
Enumeration Date 2007-06-11
Last Update Date 2017-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers GARY WARNOCK

NPI Name Taxonomy Address Enumeration
1992740591 Gary Warnock Pathology 600 N Wolfe St, Baltimore, MD 21287-0005 2006-06-18

Office Location

Street Address 3910 SE STARK ST
City PORTLAND
State OR
Zip Code 97214-3214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376611418 Volunteers of America Inc. Case Management 3910 Se Stark St, Portland, OR 97214-3241 2006-11-30
1194294744 Zola Neal Counselor 3910 Se Stark St, Portland, OR 97214-3241 2018-11-13
1184139321 Briana Nicole Smith Counselor 3910 Se Stark St, Portland, OR 97214 2017-12-11
1821446634 Deandre Frison Peer Specialist 3910 Se Stark St, Portland, OR 97214-3241 2016-06-02
1205210325 Keyonia Williams Counselor 3910 Se Stark St, Portland, OR 97214-3241 2015-07-18
1609278266 Rhonda Helser Counselor 3910 Se Stark St, Portland, OR 97214-3241 2014-09-25
1801298724 Volunteers of America Oregon Specialist 3910 Se Stark St, Portland, OR 97214-3241 2014-09-23
1275935140 Tasha Miniszewski Social Worker 3910 Se Stark St, Portland, OR 97214-3241 2014-09-22
1558763557 Diann Marie Hill Community/Behavioral Health 3910 Se Stark St, Portland, OR 97214-3241 2014-09-22
1376945386 Ruthie Johnston Counselor 3910 Se Stark St, Portland, OR 97214-3241 2014-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1639616436 Erin Elizabeth Weaver Acupuncturist 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 2017-01-31
1780126045 Katherine Aravamudan, Lpc, LLC Community/Behavioral Health 1312 E. Burnside Street, Portland, OR 97214 2016-11-17
1003358441 Michelle Jean Meadows Massage Therapist 2804 Se Lincoln St, Portland, OR 97214 2016-11-16
1629429311 Stephanie Tolentino Counselor 605 Se Cesar E Chavez Blvd., Portland, OR 97214 2016-06-24
1790141166 Marian Iris Dixon Massage Therapist 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 2016-01-14
1194194589 Lutheran Community Services Northwest Community/Behavioral Health 605 Se Cesar E Chavez Bld, Portland, OR 97214 2015-09-16
1497123566 Michele R. Stokes Specialist 2311 East Burnside B1, Portland, OR 97214 2015-09-08
Find all providers in zip 97214

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1245896307 Anthony James Hardy Peer Specialist 10336 Ne Wygant St, Portland, OR 97220-3368 2019-05-14
1881155596 Laray Jermaine Thomas Peer Specialist 11509 Se Stephens St, Portland, OR 97216-3660 2019-03-26
1932684248 Dorothy Joanna Burton Peer Specialist 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 2018-10-02
1750886255 Steven Wade Peer Specialist 4512 Ne Portland Hwy, Portland, OR 97218-1363 2018-03-27
1669991212 Kimberly Jaye Randall Peer Specialist 17214 Se Division St Ste 2, Portland, OR 97236-1282 2017-09-14
1689103897 Walter Bulter Peer Specialist 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 2017-06-09
1306373543 Brenda Kay Mitchell Peer Specialist 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 2017-05-18
1760914493 Changing Perceptions Peer Specialist 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 2017-03-31
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97214

Improve Information

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Dataset Information

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.

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