TARA CANDELA (NPI# 1861025256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861025256 |
Entity Type | Individual |
Full Name | TARA CANDELA |
Credential | RN |
Practice Address |
18417 Se Oak St Portland OR 97233-4850 |
Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
Practice Telephone | 9717278026 |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201609336RN | OR | Nursing Service Providers |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
18417 SE OAK ST |
City | PORTLAND |
State | OR |
Zip Code | 97233-4850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851602213 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 18417 Se Oak St, Portland, OR 97233-4850 | 2010-06-30 |
1801497698 | Dana Schwab | Student in an Organized Health Care Education/Training Program | 18417 Se Oak St, Portland, OR 97233-4850 | 2020-11-06 |
1184239592 | Benjamin Gulick | Counselor | 18417 Se Oak St, Portland, OR 97233-4850 | 2020-09-11 |
1306457189 | Breanna Fanning | Counselor | 18417 Se Oak St, Portland, OR 97233-4850 | 2020-08-13 |
1205475886 | Maya Evangeline Berman | Counselor | 18417 Se Oak St, Portland, OR 97233-4850 | 2019-12-31 |
1366087991 | Jacob Lee Pratt | Case Manager/Care Coordinator | 18417 Se Oak St, Portland, OR 97233-4850 | 2019-11-06 |
1326693466 | Brianna Nicole Dittlinger | Counselor | 18417 Se Oak St, Portland, OR 97233-4850 | 2019-08-06 |
1003369893 | Jennifer Grimes | Case Manager/Care Coordinator | 18417 Se Oak St, Portland, OR 97233-4850 | 2016-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
Find all providers in zip 97233 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
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.