SERENITY HOUSE CALL


Address: 6975 Sw Sandburg St, Suite #190, Portland, OR 97223-8073
Phone: 5036393322

SERENITY HOUSE CALL (NPI# 1932423472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932423472
Entity Type Organization
Organization Name SERENITY HOUSE CALL
Practice Address 6975 Sw Sandburg St
Suite #190
Portland
OR 97223-8073
Practice Telephone 5036393322
Practice Fax Number 8888836139
Mailing Telephone 5036393322
Mailing Fax Number 8888836139
Enumeration Date 2010-03-25
Last Update Date 2010-05-11
Authorized Official Name MR. LEONARD RICHARD JENSEN (PRESIDENT)
Authorized Official Telephone 5036393322
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6975 SW SANDBURG ST
SUITE #190
City PORTLAND
State OR
Zip Code 97223-8073

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NPI Name Taxonomy Address Enumeration
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1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1417425034 Patience Marie Rutto Counselor 8915 Sw Center Streret, Tigard, OR 97223 2018-11-13
1871089581 Marina E Menegol Behavioral Analyst Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 2018-07-05
1215423165 Katherine Virginia Eichner Psychologist 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 2018-07-03
1043717390 Rayna Donnelly Physician Assistant 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 2018-04-11
1376059725 Kaylie Marilyn Reyes Behavioral Analyst 9115 Sw Oleson Road, Portland, OR 97223 2017-12-21
1841704004 Kathleen Terrell Taylor Occupational Therapist 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 2017-11-27
1487163036 Susie Riess Counselor 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 2017-09-27
1043731243 Tam Nguyen Optometrist 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 2017-06-28
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548399322 Corporate Health Nw Nurse Practitioner 10209 Se Division St, Portland, OR 97266-1327 2007-03-05
1598301160 Melissa Lohman Nurse Practitioner 6130 Ne 78th Ct Ste C10, Portland, OR 97218-4800 2019-11-19
1174170682 Amy Samantha Peck Nurse Practitioner 12710 Se Division St, Portland, OR 97236-3134 2019-08-20
1235692484 Ashley Chan Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-04-12
1871018119 Matthew Sieg Nurse Practitioner 500 W Votaw St, Portland, IN 47371-1322 2017-08-08
1982128096 Myra Brooke Flemister Nurse Practitioner 233 N Main St, Portland, AR 71663-9230 2017-07-31
1982056347 Megan Lynne Black Nurse Practitioner 43 Baxter Blvd, Portland, ME 04101-1823 2016-07-11
1922463587 Sarah Danford Nurse Practitioner 18000 Se Stark St, Portland, OR 97233 2015-12-28
1124401799 Crystal Ward Nurse Practitioner 5100 Sw Macadam Ave, 200, Portland, OR 97239-6102 2015-07-01
1902166481 Michele Jean Bergmann Nurse Practitioner 1040 Nw 22nd Ave, Ste 500, Portland, OR 97210-3057 2012-05-18
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Competitor

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City PORTLAND
Zip Code 97223

Improve Information

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Dataset Information

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.

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