DONALD RAY BRYSON (NPI# 1750853651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750853651 |
Entity Type | Individual |
Full Name | DONALD RAY BRYSON |
Credential | PEER SUPPORT |
Practice Address |
1605 E Lincoln Rd Woodburn OR 97071 |
Mailing Address |
1605 E Lincoln Rd Woodburn OR 97071-5137 |
Practice Telephone | 5039829300 |
Mailing Telephone | 5039829300 |
Enumeration Date | 2018-12-18 |
Last Update Date | 2018-12-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1605 E LINCOLN RD |
City | WOODBURN |
State | OR |
Zip Code | 97071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073601647 | Telecare Mental Health Services of Oregon, Inc | Psychiatric Residential Treatment Facility | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2006-10-10 |
1528674397 | Dylan Jessen | Case Manager/Care Coordinator | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-09-17 |
1265063374 | Kristy Mae Valencia | Spec/Tech, Health Info | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-01-28 |
1720644461 | Katrina Reale | Rehabilitation Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-05-17 |
1841854700 | Katelyn Prendergast | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-04-26 |
1881166783 | Marisa Bender | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-18 |
1821569872 | Karen G Hernandez | Psychologist | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-16 |
1467922856 | Michael David Jackson | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-11-28 |
1770063729 | Jill M Crittenden | Social Worker | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-08-20 |
1346727005 | Charlene Dee Dutton | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
Find all providers in zip 97071 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DONALD RAY BRYSON.
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.