PROFESSIONAL HEALTH CARE LLC (NPI# 1760628838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760628838 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HEALTH CARE LLC |
| Other Organization Name | GET A FLU SHOT.COM |
| Practice Address |
135 Se 102nd Ave Portland OR 97216-2703 |
| Practice Telephone | 5032589800 |
| Practice Fax Number | 5032588311 |
| Mailing Telephone | 5032589800 |
| Mailing Fax Number | 5032588311 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |
| Authorized Official Name | MR. STEPHEN ALLRED (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5032589800 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
081047114N3 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213900 | 05 |
| Other Name | Type Code |
|---|---|
| Get A Flu Shot.com | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528244282 | Professional Health Care LLC | Nurse Practitioner | 2580 Kensington Ct, West Linn, OR 97068 | 2008-01-11 |
| 1134501752 | Professional Health Care LLC | Home Health | 1515 S Byrne Rd, Suite 109, Toledo, OH 43614-3458 | 2015-06-19 |
| 1477798379 | Professional Health Care LLC | Clinic/Center | 135 Se 102nd Ave, Portland, OR 97216-2703 | 2008-12-05 |
| Street Address |
135 SE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558496158 | Stephen Allred IIi | Nurse Practitioner | 135 Se 102nd Ave, Portland, OR 97216-2703 | 2007-02-22 |
| 1477798379 | Professional Health Care LLC | Clinic/Center | 135 Se 102nd Ave, Portland, OR 97216-2703 | 2008-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| 1811441652 | Boly Health and Education, LLC | Clinic/Center | 2607 Nw Thurman St, Portland, OR 97210-2202 | 2016-08-10 |
| 1073927158 | Personal Fitness and Consulting | Clinic/Center | 12014 Se Schiller St, Portland, OR 97266-3258 | 2014-06-17 |
| 1427475698 | Eternal Spring Massage | Clinic/Center | 7048 Se Milwaukie Ave, Portland, OR 97202-5719 | 2014-03-25 |
| 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.