ELIZABETH C SUKOWATEY (NPI# 1770002792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770002792 |
| Entity Type | Individual |
| Full Name | ELIZABETH C SUKOWATEY |
| Credential | RN |
| Practice Address |
4531 Se Belmont St Ste 100 Portland OR 97215-1675 |
| Practice Telephone | (503) 215-6556 |
| Mailing Telephone | 5032156556 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
200942599RN | OR | Nursing Service Providers |
| Street Address |
4531 SE BELMONT ST STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134477839 | Megan Joanne Keller | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2012-08-28 |
| 1750842514 | Peter Schubert Larkin | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2019-03-26 |
| 1497239164 | Rachael Gasser | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2018-09-19 |
| 1639658578 | Tonya Kathleen Mathews | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2018-08-10 |
| 1194215897 | Stella I Woodman | Licensed Practical Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2018-05-17 |
| 1376043265 | Rebecca Lynn Oslund | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2018-02-16 |
| 1992218838 | Kristen Massing Wilson | Pharmacist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-11-14 |
| 1326588609 | Megenagna Assefa Terefe | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-03-06 |
| 1649715061 | Katherine Bartel | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2016-12-20 |
| 1306389952 | Kathleen Kilburg | Social Worker | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2016-11-30 |
| Find all providers in the same location | ||||
| 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 | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253510 | Casey Shillam | Registered Nurse | 5000 N Willamette Blvd # 153, Portland, OR 97203-5798 | 2018-04-25 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| 1134477839 | Megan Joanne Keller | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2012-08-28 |
| 1255335295 | Brenda R Annotti | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227 | 2005-06-08 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1336795228 | Kathy Elaine Torres | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2019-08-15 |
| 1316505381 | Amy Katherine Owotor | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-04 |
| 1790343952 | Penni Kleber | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2019-06-03 |
| 1750894168 | Scott E Stewart | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2017-11-07 |
| 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.