MICHAEL SPENCER (NPI# 1932506888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932506888 |
| Entity Type | Individual |
| Full Name | MICHAEL SPENCER |
| Practice Address |
1949 Se 122nd Ave Portland OR 97233-1303 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032535954 |
| Mailing Telephone | 5032941681 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
06-03-43 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659722684 | Michael Spencer | In Home Supportive Care | 6879 Carters Grove Dr, Noblesville, IN 46062-7969 | 2016-06-30 |
| 1902107774 | Michael P Spencer | Behavioral Analyst | 3617 Sunvalley Dr, Midwest City, OK 73110-1223 | 2010-11-10 |
| 1396876033 | Michael Kenney Spencer | Dentist | 3221 Hulen St, Suite B, Fort Worth, TX 76107-6114 | 2007-03-07 |
| 1245340249 | Michael Darwin Spencer | Dentist | 1061 Riverside Ave, Suite 101, Jacksonville, FL 32204-4152 | 2006-08-30 |
| 1912960022 | Michael F Spencer | Optometrist | 3507 Lee Blvd Ste 104, Lehigh Acres, FL 33971-1303 | 2006-04-10 |
| 1528609500 | Michael Spencer | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-01 |
| 1558928333 | Michael Steven Spencer | Technician | 5028 Alta Dr, Las Vegas, NV 89107-3927 | 2019-05-28 |
| 1144705500 | Michael Spencer | Counselor | 10080 E Us Highway 36 Ste A, Avon, IN 46123-8174 | 2018-10-01 |
| 1245688308 | Michael Sebastian Spencer | Optometrist | 711 N Main St, Benton, IL 62812-1017 | 2016-05-31 |
| 1265843759 | Michael Spencer | Registered Nurse | 6601 W 12th St, Little Rock, AR 72204-1513 | 2014-05-19 |
| Street Address |
1949 SE 122ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669736096 | Angelica Maria Sanchez | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2012-06-29 |
| 1619443280 | Lisa Cathalene Greenfield | Peer Specialist | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2018-10-22 |
| 1396252300 | Simon Joseph Klein | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2017-12-29 |
| 1548776016 | Lillie Joy Zable | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2017-12-20 |
| 1417479833 | Larry C Williams | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2017-07-07 |
| 1427429505 | Sarah Anne Palileo | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2015-10-14 |
| 1114311396 | Maide Almeida | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2015-03-25 |
| 1124442165 | John Connelly | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2014-02-11 |
| 1477984219 | Anthony Pittman | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2013-12-04 |
| 1063848687 | Ricardo Antonio Verdeguez | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2013-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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.