ERICA HARRIS (NPI# 1790323947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790323947 |
| Entity Type | Individual |
| Full Name | ERICA HARRIS |
| Credential | PMHNP-BC |
| Practice Address |
619 Nw 6th Ave Portland OR 97209-3964 |
| Mailing Address |
190 Ne 78th Ave Hillsboro OR 97006-6879 |
| Practice Telephone | 5039885020 |
| Mailing Telephone | 6626710640 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| 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 |
201911178NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1942732482 | Erica Brooke Harris | Counselor | 8907 Deerland Ct, Huntersville, NC 28078-5610 | 2017-04-03 |
| 1497140073 | Erica E Harris | Social Worker | 6304 Parkridge Dr, Sachse, TX 75048-3304 | 2015-04-01 |
| 1568874485 | Erica Harris | Registered Nurse | 10909 Bethel Rd, Fort Wayne, IN 46818-8913 | 2014-05-27 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1831335090 | Erica Harris | Physician Assistant | 4160 Merrick Rd Ste A, Massapequa, NY 11758-6027 | 2008-12-18 |
| 1700979432 | Erica Harris | Social Worker | 205 Wakelee Avenue, Ansonia, CT 06401 | 2006-10-02 |
| 1487261574 | Erica Suzanne Harris | Pharmacist | 1997 Buffalo Trl, Morristown, TN 37814-4364 | 2020-09-23 |
| 1629548466 | Erica J Harris | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2018-12-04 |
| 1821571803 | Erica Harris | Psychologist | 153 W 27th St Ste 300, New York, NY 10001-6259 | 2018-09-14 |
| Street Address |
619 NW 6TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093874356 | Erin C Brochu | Counselor | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2006-12-06 |
| 1700494580 | Christine Belile | Clinical Medical Laboratory | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-07-17 |
| 1780201426 | Tim Richard Criswell | Pharmacy Technician | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-06-29 |
| 1902423635 | Sheng Kimberly Yang | Pharmacy Technician | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-06-29 |
| 1568089290 | Rebecca Puls | Pharmacy Technician | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2020-06-29 |
| 1508388497 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2017-07-12 |
| 1639534969 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2015-12-31 |
| 1215373048 | Emily R Borke | Social Worker | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-05-20 |
| 1023451044 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-04-09 |
| 1982992954 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2011-07-12 |
| Find all providers in the same location | ||||
| 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 | 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.