PENNI KLEBER (NPI# 1790343952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790343952 |
| Entity Type | Individual |
| Full Name | PENNI KLEBER |
| Practice Address |
4540 Ne Glisan St Portland OR 97213-2333 |
| Practice Telephone | 5032153738 |
| Mailing Telephone | 5032153738 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
099000278RN | OR | Nursing Service Providers |
| Street Address |
4540 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250360 | Rhonda Tierney | Internal Medicine | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2005-07-21 |
| 1902417744 | Jeffrey Moua | Social Worker | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2020-08-14 |
| 1245792142 | Susan Marie Wetzel | Dietitian, Registered | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2019-04-01 |
| 1669964169 | Donna Marie Winebarger | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2018-05-31 |
| 1750894168 | Scott E Stewart | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2017-11-07 |
| 1720521784 | Anzhelika Gavrilovich | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2016-11-23 |
| 1306259874 | Kyle Anderson | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2014-06-03 |
| 1104252295 | Barbara Tanner | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2013-09-19 |
| 1619221389 | Marc R. Mcfarland | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2012-11-02 |
| 1285987891 | Mark Scott Junker | Physical Therapist | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2012-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253510 | Casey Shillam | Registered Nurse | 5000 N Willamette Blvd # 153, Portland, OR 97203-5798 | 2018-04-25 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| 1134477839 | Megan Joanne Keller | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2012-08-28 |
| 1255335295 | Brenda R Annotti | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227 | 2005-06-08 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1336795228 | Kathy Elaine Torres | Registered Nurse | 420 Ne Mason St, Portland, OR 97211-3479 | 2019-08-15 |
| 1316505381 | Amy Katherine Owotor | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-04 |
| 1750894168 | Scott E Stewart | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2017-11-07 |
| 1770002792 | Elizabeth C Sukowatey | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-09-11 |
| 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.