MICHELLE ANNE KERRIGAN (NPI# 1902364128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902364128 |
| Entity Type | Individual |
| Full Name | MICHELLE ANNE KERRIGAN |
| Practice Address |
2545 Ne Flanders St Portland OR 97232-3139 |
| Mailing Address |
232 Nw 6th Avenue Attn: Credentialing Portland OR 97209 |
| Practice Telephone | 5032353546 |
| Practice Fax Number | 5032353791 |
| Mailing Telephone | 5035015641 |
| Mailing Fax Number | 5032944321 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2545 NE FLANDERS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962683011 | Saige A. Gracie | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2007-11-16 |
| 1497382568 | Karina Mae Leslie | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2020-03-26 |
| 1487143194 | Alexandra Oyster | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2018-05-08 |
| 1861901365 | Cariann Young | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2017-09-27 |
| 1003260571 | Desiree Dawn Stang | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2016-04-20 |
| 1528421575 | Amy Simpson-paul | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2016-03-29 |
| 1982000592 | Joan Elaine Newhouse | Registered Nurse | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2014-11-10 |
| 1982046660 | Debourah Rau | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2013-07-23 |
| 1780023671 | Donna Easlick | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2013-06-24 |
| 1679912547 | Sarah Goforth | Counselor | 2545 Ne Flanders St, Portland, OR 97232-3139 | 2013-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 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 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.