MENOPAUSE NORTHWEST, LLC (NPI# 1780291146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780291146 |
| Entity Type | Organization |
| Organization Name | MENOPAUSE NORTHWEST, LLC |
| Practice Address |
2712 Se 43rd Ave Portland OR 97206-1608 |
| Practice Telephone | 5039511581 |
| Mailing Telephone | 5039511581 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | CHRISTINA CAMELI (OWNER) |
| Authorized Official Telephone | 5039511581 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1891987079 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MENOPAUSE NORTHWEST, LLC | 2712 Se 43rd Avenue, Portland, OR 97206 |
| Street Address |
2712 SE 43RD AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275611733 | Adria Yvonne Goodness | Nurse Practitioner | 833 S.w. 11th Ave., Suite 915, Portland, OR 97205 | 2006-11-01 |
| 1336169911 | Virginia Lois Capan | Nurse Practitioner | 3181 Sw Jackson Park Blvd, Oregon Health & Science University, Portland, OR 97239 | 2006-07-19 |
| 1407889157 | Leah Coplon | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04101 | 2006-07-08 |
| 1477934644 | Juliana Baron | Nurse Practitioner | 11750 Sw Barnes Rd, Suite 300, Portland, OR 97225-5911 | 2015-06-14 |
| 1700284445 | Yael Offer | Nurse Practitioner | 1608 Se Ankeny St, Portland, OR 97214-1448 | 2014-12-11 |
| 1679821672 | Sandra Sue Karp | Nurse Practitioner | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-08-22 |
| 1861771230 | Miriam Nehama Rosenberg | Nurse Practitioner | 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 | 2011-08-16 |
| 1770895187 | Back Cove Midwives | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04103-4972 | 2010-07-14 |
| 1881910859 | Lydia Marie Hammond | Nurse Practitioner | 11750 Sw Barnes Road, Suite 300, Portland, OR 97225-5911 | 2010-04-15 |
| 1316139447 | Anna Gabriele Gregory Spann | Nurse Practitioner | 2705 E Burnside St, Ste 114, Portland, OR 97214-1763 | 2007-08-13 |
| 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.