TARA C O'CONNOR (NPI# 1780844332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780844332 |
| Entity Type | Individual |
| Full Name | TARA C O'CONNOR |
| Credential | ARNP |
| Practice Address |
3930 Se Division St Portland OR 97202-1643 |
| Practice Telephone | 5034183900 |
| Practice Fax Number | 5034183939 |
| Mailing Telephone | 5034183900 |
| Mailing Fax Number | 5034183939 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201250047NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
N360139367 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G8889815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205279395 | Tara O'connor | Obstetrics & Gynecology | 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 | 2013-04-09 |
| 1730629965 | Tara O'connor | Counselor | 3478 Buskirk Ave, Pleasant Hill, CA 94523-4344 | 2017-03-07 |
| 1649620121 | Tara O'connor | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2016-06-15 |
| 1548610124 | Tara O'connor | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-06-15 |
| 1083008486 | Tara O'connor | Physical Therapy Assistant | 6 Greenwich Office Park, 40 Valley Drive, Greenwich, CT 06831-5151 | 2015-03-24 |
| 1205079860 | Tara L O'connor | Occupational Therapist | 1300 Post Rd, Suite 204, Fairfield, CT 06824-6038 | 2009-04-13 |
| 1265692776 | Tara Gene O'connor | Registered Nurse | 799 E Hampden Ave Ste 300, Englewood, CO 80113-2762 | 2008-06-10 |
| Street Address |
3930 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205547 | Valerie Lynn Cecil | Nurse Practitioner | 3930 Se Division St, Portland, OR 97202-1643 | 2005-06-20 |
| 1982221081 | Rebekah Bartholomew | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2020-07-06 |
| 1043768344 | Cari Baugh | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2016-09-14 |
| 1063880110 | Allison Foxx | Physician Assistant | 3930 Se Division St, Portland, OR 97202-1643 | 2015-09-07 |
| 1477929958 | Kristine Ethridge | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2015-08-19 |
| 1891187498 | Meredith Preble | Counselor | 3930 Se Division St, Portland, OR 97202-1643 | 2015-02-19 |
| 1417394354 | Heather Mackay | Student in an Organized Health Care Education/Training Program | 3930 Se Division St, Portland, OR 97202-1643 | 2013-06-02 |
| 1639422132 | Joan B Fleishman | Psychologist | 3930 Se Division St, Portland, OR 97202-1643 | 2012-10-22 |
| 1659623742 | Rory Eugene Jordan Fifield | Pharmacist | 3930 Se Division St, Portland, OR 97202-1643 | 2012-10-12 |
| 1477816353 | Suzannah Luhn | Nurse Practitioner | 3930 Se Division St, Portland, OR 97202-1643 | 2012-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| 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.