AZIN GHOREYSHI (NPI# 1780290411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780290411 |
| Entity Type | Individual |
| Full Name | AZIN GHOREYSHI |
| Practice Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Practice Telephone | 5032584200 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OK301K2S | 05 |
| Street Address |
11035 NE SANDY BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814665 | Beth Diane French | Psychologist | 11035 Ne Sandy Blvd, Portland, OR 97220 | 2006-10-12 |
| 1356948608 | Baylee Bullock | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-10-08 |
| 1992317473 | Daisy Ulloa Bahena | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-08-17 |
| 1881221919 | Brittany M Russ | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-03-26 |
| 1891330593 | Cynthia Ceciliani | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-11-17 |
| 1710529599 | Vanessa Sanchez-mexicano | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-12 |
| 1407498306 | Caren Elizabeth Summers-nomura | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-11 |
| 1265080592 | Lauren M Wenzinger | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-29 |
| 1083261127 | Alison Harriot | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-22 |
| 1578119863 | Michelle Connolly | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
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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.