MR. TOD EVAN FISTE (NPI# 1790079101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790079101 |
| Entity Type | Individual |
| Full Name | MR. TOD EVAN FISTE |
| Credential | LPC, MFT |
| Practice Address |
1815 Nw Flanders St Suite 101 Portland OR 97209-2060 |
| Practice Telephone | 5039466499 |
| Practice Fax Number | 5039667948 |
| Mailing Telephone | 5039466499 |
| Mailing Fax Number | 5039667948 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2614 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC44519 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1815 NW FLANDERS ST SUITE 101 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225257637 | Bonnie B Mclean | Social Worker | 1815 Nw Flanders St, Ste. 101, Portland, OR 97209-2060 | 2007-04-24 |
| 1316342116 | Margaret Boyd | Massage Therapist | 1815 Nw Flanders St, Portland, OR 97209-2060 | 2014-10-23 |
| 1679993240 | Claire J Lauder | Massage Therapist | 1815 Nw Flanders St, L102 & 202, Portland, OR 97209-2060 | 2014-04-23 |
| 1821439449 | Hannah Leigh Edlefsen | Massage Therapist | 1815 Nw Flanders St, Suite L102, Portland, OR 97209-2060 | 2013-07-11 |
| 1366754590 | Dr.niti's Naturalways Pediatrics | Clinic/Center | 1815 Nw Flanders St, Suite 104, Portland, OR 97209-2060 | 2010-07-02 |
| 1265694251 | Mark J Girard | Social Worker | 1815 Nw Flanders St, Ste 203, Portland, OR 97209-2060 | 2008-06-30 |
| 1356544647 | Christine Genevieve Glenn | Psychologist | 1815 Nw Flanders St, Portland, OR 97209-2060 | 2007-06-06 |
| 1679786685 | Candice Hammett Everett | Social Worker | 1815 Nw Flanders St, Suite 202, Portland, OR 97209-2060 | 2007-05-07 |
| 1578784476 | Suzan A Anson | Psychologist | 1815 Nw Flanders St, Suite 102, Portland, OR 97209-2060 | 2007-05-01 |
| 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 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| 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.