MR. ALBERT KENNETH CHIANCONE JR. (NPI# 1790224194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790224194 |
| Entity Type | Individual |
| Full Name | MR. ALBERT KENNETH CHIANCONE JR. |
| Credential | MA |
| Practice Address |
14255 Sw Brigadoon Ct Beaverton OR 97005-3369 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5036411475 |
| Practice Fax Number | 5036418548 |
| Mailing Telephone | 5036453581 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
14255 SW BRIGADOON CT |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558461483 | Maybelle J Altman | Social Worker | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2006-09-22 |
| 1063950434 | Zuzana Kalas | Registered Nurse | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2017-02-06 |
| 1053856955 | Jose Luis Martinez-alcoser IIi | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-12-30 |
| 1952846032 | Kelly Richardson | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-12-29 |
| 1134662711 | Nancy Graser | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-11-30 |
| 1568914968 | Kassie Austyn Adolph | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-11-01 |
| 1295283471 | Nina Von Eggers | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-09-15 |
| 1467909739 | Andrew Tylor Hastings | Counselor | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-09-05 |
| 1629427448 | Judith Groom | Registered Nurse | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-06-13 |
| 1063873016 | Julie Nittler | Registered Nurse | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2016-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1982249553 | Erik Cooper Klee | Counselor | 10700 Sw Beaverton Hillsdale Hwy Bldg 1, Beaverton, OR 97005-3019 | 2019-11-07 |
| 1831623107 | Andrea Redeau | Counselor | 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008-8800 | 2017-04-13 |
| 1669915344 | Western Psychological and Counseling Services PC | Counselor | 9700 Sw Beaverton Hillsdale Hwy Bldg B, Beaverton, OR 97005-3306 | 2016-11-29 |
| 1497104004 | Solutions Group Nw LLC | Counselor | 3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR 97005 | 2016-06-06 |
| 1811358146 | Kathryn Parsons | Counselor | 12270 Sw Center St Apt 84, Beaverton, OR 97005-1739 | 2016-03-15 |
| 1821458019 | Rick Baumgartle | Counselor | 9660 Sw Denney Rd, Beaverton, OR 97008-6066 | 2016-03-01 |
| 1700170750 | Malena Marie Ortega | Counselor | 14025 Sw Farmington Rd, Beaverton, OR 97005 | 2011-06-07 |
| 1467783225 | Stacey Marie Condray | Counselor | 12050 Sw Windmill Dr, Beaverton, OR 97008-7048 | 2010-01-19 |
| 1255500203 | Dr Katie Evans Inc | Counselor | 19943 Sw Jette Ln, Beaverton, OR 97006-2789 | 2008-02-25 |
| Find all providers in BEAVERTON | ||||
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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.