DANA LYNN BODDY (NPI# 1891338901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891338901 |
| Entity Type | Individual |
| Full Name | DANA LYNN BODDY |
| Credential | CRM |
| Practice Address |
10362 Sw Mcdonald St Tigard OR 97224-4863 |
| Mailing Address |
1027 E Burnside St Portland OR 97214-1328 |
| Practice Telephone | 9718652855 |
| Practice Fax Number | 5036393973 |
| Mailing Telephone | 5032398400 |
| Mailing Fax Number | 5032398407 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
10362 SW MCDONALD ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-4863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851304281 | Kimberly Anne Brandt | Nurse Practitioner | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2006-08-15 |
| 1932732724 | Tonya Jean Inman | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2020-02-19 |
| 1750847521 | Jessica Hollis | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2019-02-15 |
| 1336605575 | Leslie Dee Johnson | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2019-02-12 |
| 1265996680 | James Markovics | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2019-01-30 |
| 1609360676 | Alicia Howard | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2018-06-21 |
| 1871094482 | Clarence Roy Mckee | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2018-02-28 |
| 1720596844 | Tatiana Lyn Poznekoff | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2018-01-11 |
| 1255882775 | Jessica Simones | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2016-10-19 |
| 1851782007 | Michael Winfield Danehy | Counselor | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2015-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1497284822 | Lorna Ann Gusner | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-06-08 |
| 1851848857 | Jasmine Veda Holder | Counselor | 12505 Sw North Dakota St, Tigard, OR 97223-3284 | 2016-09-07 |
| 1215329545 | Jason Ryan Grismore | Counselor | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1366846651 | Leanna Jones | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223 | 2014-10-15 |
| 1467644971 | Patty Ann Falkenstein | Counselor | 11895 Sw Greenburg Road, Tigard, OR 97223 | 2007-08-17 |
| 1821212713 | Devon A Mathews | Counselor | 11945 Sw Pacific Hwy, #113, Tigard, OR 97223-6469 | 2007-04-12 |
| 1740806579 | Sherry Beeler | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223-5492 | 2020-06-17 |
| 1275154957 | Christopher Brent Bucar | Counselor | 10763 Sw Greenburg Rd, Tigard, OR 97223-5492 | 2020-05-04 |
| 1295364693 | Mitchell W Jones | Counselor | 10763 Sw Greenburg Rd Ste 100, Tigard, OR 97223-5492 | 2020-04-07 |
| Find all providers in TIGARD | ||||
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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.