THOMAS PARK (NPI# 1790055358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790055358 |
| Entity Type | Individual |
| Full Name | THOMAS PARK |
| Practice Address |
627 Ne Evans St Mcminnville OR 97128-3923 |
| Practice Telephone | 5034347523 |
| Mailing Telephone | 5034347523 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063619419 | Thomas Park | Dentist | 134 New Haven Rd, Seymour, CT 06483-3908 | 2007-06-29 |
| 1619359288 | Thomas Park | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2015-06-19 |
| 1669756045 | Thomas Park | Pharmacist | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2011-10-04 |
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1629169412 | Thomas T Park | Psychiatry & Neurology | 4160 John R St, 916, Detroit, MI 48201-2020 | 2006-09-27 |
| 1609976547 | Thomas Chin Park | Surgery | 2725 Capitol Ave, Suite 402, Sacramento, CA 95816-6004 | 2006-09-22 |
| 1609835198 | Thomas Park | Internal Medicine | 601 Elmwood Ave, Box 646, Rochester, NY 14642-0001 | 2006-03-22 |
| 1194707562 | Thomas S Park | Pharmacist | 23357 Pacific Coast Hwy, Malibu, CA 90265-4957 | 2005-11-18 |
| 1952304792 | Thomas M Park | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| Street Address |
627 NE EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265820 | Stephanie Harper Potts | Nurse Practitioner | 627 Ne Evans St, Mcminnville, OR 97128 | 2005-06-14 |
| 1700492139 | Katelyn M Spain | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-21 |
| 1053926287 | Molly Marie Joubert | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-14 |
| 1861019085 | Ashley Young | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-07-03 |
| 1033735626 | Jamie Jolyn Smith | Case Manager/Care Coordinator | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-06-19 |
| 1265055800 | Anna Spoden | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-18 |
| 1306468442 | Kelly Stone | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-12 |
| 1598385221 | Shaeli Diane Ferguson | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-04-22 |
| 1588291231 | Laura Molloy | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-24 |
| 1194351288 | Darlene Michelle Gutbrod | Nurse's Aide | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462734 | Paula Borges Fontenelle | Counselor | 609 Ne Baker St Ste 280, Mcminnville, OR 97128-4958 | 2020-06-22 |
| 1689204620 | Mariah Wuellner | Counselor | 325 Sw Elmwood Ave, Mcminnville, OR 97128-5913 | 2020-01-17 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1548736184 | Courtney Greif | Counselor | 1275 Nw Adams St Ste C, Mcminnville, OR 97128-3549 | 2018-10-22 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| 1174060701 | Denise Bella Fellows | Counselor | 932 Ne 18th St, Mcminnville, OR 97128-3106 | 2017-01-20 |
| 1841671369 | Emanuel Recinos | Counselor | 490 Ne 5th St, Mcminnville, OR 97128 | 2015-06-10 |
| 1851781298 | Molly Winterrowd | Counselor | 672 Ne Evans St., Mcminnville, OR 97224 | 2015-01-23 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on THOMAS PARK.
| 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.