EASTER SEALS OREGON (NPI# 1922072487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922072487 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS OREGON |
| Practice Address |
290 Moyer Ln Nw Salem OR 97304-3822 |
| Mailing Address |
5757 Sw Macadam Ave Portland OR 97239-3765 |
| Practice Telephone | 5033708990 |
| Practice Fax Number | 5033634214 |
| Mailing Telephone | 5032285108 |
| Mailing Fax Number | 5032281352 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. J DAVID CHEVEALLIER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5032285108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 269076 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EASTER SEALS OREGON | 7300 Sw Hunziker St Ste 103, Portland, OR 97223 |
| Street Address |
290 MOYER LN NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959493 | Carolyn Occhipinti | Psychologist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2005-08-17 |
| 1316200546 | Erin F Vanortwick | Student in an Organized Health Care Education/Training Program | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2012-06-22 |
| 1508140872 | Aileen Cutz | Case Manager/Care Coordinator | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-10-05 |
| 1003100041 | Lena Yesowitch | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-06-07 |
| 1568766616 | Linda Jean Weisensee | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2011-01-04 |
| 1447554050 | Amanda Michele Wilcox | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-12-23 |
| 1619288669 | Madeline Louise Stafford | Counselor | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-06-24 |
| 1215248398 | Amy Leigh Hafer | Social Worker | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-06-23 |
| 1134445463 | Amy Haslett | Occupational Therapist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2010-04-12 |
| 1720315120 | Easter Seals Oregon Children's Therapy Center | Community/Behavioral Health | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2009-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134750185 | Peace By Piece Psychological Care | Clinic/Center | 57 Highland Ave Fl 4, Salem, MA 01970-2141 | 2020-01-29 |
| 1326442450 | North Shore Medical Center | Clinic/Center | 55 Highland Ave, Salem, MA 01970-2185 | 2014-10-17 |
| 1659686426 | Hung D Tran Md LLC | Clinic/Center | 875 Oak St Se, Ste 3070, Salem, OR 97301-3975 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599545 | Rework Behavioral Therapy, LLC | Clinic/Center | 7724 Se Aspen Summit Dr Ste 300, Portland, OR 97266-9217 | 2020-05-14 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| 1740812809 | Inhousedoc, Inc. | Clinic/Center | 23334 Sw Saint Charles Way, Sherwood, OR 97140-9483 | 2020-02-06 |
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1043861222 | Renewing Strength Counseling LLC | Clinic/Center | 4509 S 6th St Ste 310, Klamath Falls, OR 97603-4883 | 2019-09-27 |
| 1205338365 | Youth Era | Clinic/Center | 44 W Broadway Ste 225, Eugene, OR 97401-3071 | 2018-03-05 |
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1760718100 | Lincoln County Health and Human Services | Clinic/Center | 320 Lower Crestline Dr., Waldport, OR 97394 | 2009-10-20 |
| 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.