NATIVE AMERICAN REHABILITATION ASSOCIATION, INC. (NPI# 1891006979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891006979 |
| Entity Type | Organization |
| Organization Name | NATIVE AMERICAN REHABILITATION ASSOCIATION, INC. |
| Other Organization Name | NARA NW - ANNEX |
| Practice Address |
1310 Sw 17th Ave Portland OR 97201 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205 |
| Practice Telephone | 5032312641 |
| Practice Fax Number | 5036212235 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5032744251 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | MS. SARAH AYERS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9713862278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 126370 | 05 |
| Other Name | Type Code |
|---|---|
| NARA NW - Annex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007093 | Native American Rehabilitation Association, Inc. | Clinic/Center | 17645 Nw St Helens Rd, Portland, OR 97231 | 2005-10-20 |
| 1831587856 | Native American Rehabilitation Association, Inc. | Pharmacy | 12360 E Burnside St, Portland, OR 97233-1042 | 2014-12-29 |
| 1619106945 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1438 Se Division St, Portland, OR 97202 | 2009-07-08 |
| 1134343213 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1776 Sw Madison St, Portland, OR 97205 | 2007-04-12 |
| 1336274372 | Native American Rehabilitation Association, Inc. | Pharmacy | 15 N Morris St, Portland, OR 97227-1541 | 2007-02-22 |
| 1851380828 | Native American Rehabilitation Association, Inc. | Clinic/Center | 1776 Sw Madison St, Portland, OR 97205 | 2005-10-20 |
| 1396734364 | Native American Rehabilitation Association, Inc. | Clinic/Center | 15 N Morris St, Portland, OR 97227 | 2005-10-20 |
| Street Address |
1310 SW 17TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164756722 | Amy A Thompson | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2009-09-29 |
| 1972127025 | Kristin A Schwing | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2020-06-04 |
| 1306473962 | Joanna Marie Jones | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2020-03-24 |
| 1962067470 | Jean Michelle Stonebraker | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2019-05-09 |
| 1053882829 | Kay M Cockerill | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2018-12-05 |
| 1245746742 | Tonya M Jones | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2017-12-19 |
| 1659890887 | Stacy L Mandzij | Social Worker | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2017-09-19 |
| 1316477441 | Patrick G Eagle Staff | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2017-06-12 |
| 1699203851 | Angelique S Saxton | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2017-05-31 |
| 1447701305 | Lindsey R Miller | Counselor | 1310 Sw 17th Ave, Portland, OR 97201-2522 | 2016-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| 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.