CARRIE TIERNEY (NPI# 1780210914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780210914 |
| Entity Type | Individual |
| Full Name | CARRIE TIERNEY |
| Practice Address |
324 Nw Davis St Portland OR 97209-3925 |
| Practice Telephone | 5032262203 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
201391692RN | OR | Nursing Service Providers |
| Street Address |
324 NW DAVIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| 1639770431 | Rely Tayag | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-11-06 |
| 1467069278 | Julia Davis | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-09-25 |
| 1588280812 | Alisha Brien | Counselor | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-06-23 |
| 1982227500 | Simon Palinsky | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-05-19 |
| 1265060354 | Stefan Nornholm | Counselor | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-04-01 |
| 1992331383 | Jennifer Warren | Counselor | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-17 |
| 1104450949 | Holly Consol | Counselor | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-03-02 |
| 1528692068 | Rhiannon Miller | Counselor | 324 Nw Davis St, Portland, OR 97209-3925 | 2020-02-24 |
| 1558907568 | Angelica Montagut | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1699141424 | Marena Passarelli | Counselor | 1977 Nw Overton St Ste D, Portland, OR 97209 | 2015-08-16 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710266226 | Anne Brown | Registered Nurse | 2165 Sw Main St, Portland, OR 97205-1123 | 2011-08-15 |
| 1942508726 | Judy Christine Hough | Registered Nurse | 1316 Sw Washington St, Portland, OR 97205-2327 | 2011-03-03 |
| 1639791999 | Todd Yates | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-05-10 |
| 1841820735 | Adrian Herrera Gonzalez | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2020-01-21 |
| 1982258075 | Ashley Marie Cramer | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2019-07-28 |
| 1598221988 | Michael John Pignataro | Registered Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2019-02-11 |
| 1255816021 | Marissa D Salgado | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2018-09-27 |
| 1457838567 | Tess Sivak | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2018-07-20 |
| 1740766534 | Diana Geacu | Registered Nurse | 1312 Sw Washington St, Portland, OR 97205-2327 | 2018-07-14 |
| 1982123147 | Nedd L Wyant | Registered Nurse | 1535 N Williams Ave, Portland, OR 97227-1885 | 2017-09-19 |
| 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.