MR. JUSTIN WILLIAM ASHBRIDGE (NPI# 1932312857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932312857 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN WILLIAM ASHBRIDGE |
| Credential | B.S. |
| Practice Address |
3034 Ne M L King Blvd Portland OR 97212-3053 |
| Mailing Address |
20890 Nw Trailwalk Dr Apt. U303 Beaverton OR 97006-8823 |
| Practice Telephone | 5032833763 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101YA0400X | OR | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers |
| Street Address |
3034 NE M L KING BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114092145 | Juanita Tucker | Counselor | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2006-11-22 |
| 1871709113 | Ukana Karanei Anderson | Case Manager/Care Coordinator | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-05-15 |
| 1447465166 | Beryl Sylvia Mcnair | Case Manager/Care Coordinator | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-05-14 |
| 1265647986 | Kyle Matthew Barbisan | Case Manager/Care Coordinator | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-05-14 |
| 1174738892 | Alma J Brown West | Case Manager/Care Coordinator | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-05-14 |
| 1629100797 | Susan Jean Blacker | Case Manager/Care Coordinator | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-03-12 |
| 1629106174 | Carolyn Mounts | Social Worker | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-02-28 |
| 1538208129 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-02-06 |
| 1023156338 | Gladys M Howard | Social Worker | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-02-01 |
| 1871639641 | Roberta Kornblum | Registered Nurse | 3034 Ne M L King Blvd, Portland, OR 97212-3053 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.