OREGON CHANGE CLINIC (NPI# 1881293215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881293215 |
| Entity Type | Organization |
| Organization Name | OREGON CHANGE CLINIC |
| Practice Address |
650 Ne Holladay Street Suite 1600 Portland OR 97232 |
| Practice Telephone | 5039842173 |
| Mailing Telephone | 5039842173 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Authorized Official Name | MICHAEL BRAXTON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5039842173 |
| Authorized Official Credential | CADC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
650 NE HOLLADAY STREET SUITE 1600 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1639534969 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2015-12-31 |
| 1033518188 | Central City Concern | Clinic/Center | 727 W Burnside St, Portland, OR 97209-3514 | 2014-08-14 |
| 1184918955 | Prov Health Sys-or Shared-svs Div | Clinic/Center | 9340 Sw Barnes Rd, Suite 200, Portland, OR 97225-6623 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850500 | Opportunity Connections, Inc. | Clinic/Center | 1102 12th St, Hood River, OR 97031-1602 | 2020-08-03 |
| 1750827184 | Elizabeth Villagrana | Clinic/Center | 32753 E Delaney St, Coburg, OR 97408-9265 | 2017-01-09 |
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1588981096 | Joan Jackson Cavan | Clinic/Center | 86595 N Modesto Dr, Eugene, OR 97402-9045 | 2010-04-23 |
| 1639316193 | La Pine Community Health Center | Clinic/Center | 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 | 2009-01-20 |
| 1376546291 | Willamette Family, Inc | Clinic/Center | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2005-05-24 |
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1457897548 | Lukedorf | Clinic/Center | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-01-12 |
| 1427594977 | Coast Community Health Clinic | Clinic/Center | 1010 1st St Se, Bandon, OR 97411-9301 | 2017-01-09 |
| 1245608819 | Annette Louise Koski | Clinic/Center | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2015-09-12 |
| Find all providers with the same taxonomy | ||||
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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.