JERRAY ANTHONY BRANNON


Address: 131 Ne 102nd Ave, Portland, OR 97220-4167
Phone: 5032536754

JERRAY ANTHONY BRANNON (NPI# 1801940325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801940325
Entity Type Individual
Full Name JERRAY ANTHONY BRANNON
Credential BS QMHA
Practice Address 131 Ne 102nd Ave
Portland
OR 97220-4167
Mailing Address 4715 Ne 103rd Ave
Portland
OR 97220-3343
Practice Telephone 5032536754
Practice Fax Number 5032511344
Mailing Telephone 5033097071
Mailing Fax Number 5034931635
Enumeration Date 2007-01-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 131 NE 102ND AVE
City PORTLAND
State OR
Zip Code 97220-4167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366464570 Jeffery Franklin Foster Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2006-07-24
1265657159 Amy Ruth Psychiatry & Neurology 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-04-16
1679610018 Susan Mawdesley Haines Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-02-01
1881731750 Deborah Jeanne Wright Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-31
1245376730 Carmen Tara Corbin II Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-30
1568509677 James John Heidrick Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-30
1184760019 Carol A Schmidt Case Manager/Care Coordinator 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-29
1023154846 Brooke Ann Sheehan Nurse Practitioner 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-29
1861544033 Stacy Lynn Riser Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2007-01-17
1104912872 Diane K Rose Counselor 131 Ne 102nd Ave, Portland, OR 97220-4167 2006-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437775558 John Alan Varner Case Manager/Care Coordinator 5833 N Lombard St, Portland, OR 97203-4115 2020-06-24
1750906228 Dwell Care LLC. Case Manager/Care Coordinator 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 2020-06-10
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102077 Joslyn Bailey Gheen Case Manager/Care Coordinator 1032 Sw Main St, Portland, OR 97205-2407 2019-09-05
1497311773 Ali Tareq Ashour Case Manager/Care Coordinator 980 Forest Ave Ste 106, Portland, ME 04103-3357 2019-05-13
1427540202 Amber Tracy Ware Case Manager/Care Coordinator 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2018-06-06
1710479209 Katherine Anne Kerr Case Manager/Care Coordinator 4307 Ne 102nd Ave, Portland, OR 97220-3439 2018-05-31
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1083137459 David Sague Case Manager/Care Coordinator 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 2017-07-18
1538601885 Gabriela Simone Sargent Case Manager/Care Coordinator 4109 Se 113th Ave, Portland, OR 97266-2226 2016-11-16
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Competitor

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City PORTLAND
Zip Code 97220

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Dataset Information

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.

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