ANDREW WIENCKEN (NPI# 1932513884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932513884 |
| Entity Type | Individual |
| Full Name | ANDREW WIENCKEN |
| Practice Address |
17070 Se Mcloughlin Blvd Milwaukie OR 97267-4960 |
| Mailing Address |
14600 Nw Cornell Rd, Portl Is The Cedar Mill Address - Portland OR 97229 |
| Practice Telephone | 5035941773 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
17070 SE MCLOUGHLIN BLVD |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-4960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376599910 | Randall Fryer | Family Medicine | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2006-05-25 |
| 1477151447 | Beth Lindsay Julen | Registered Nurse | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-10-13 |
| 1184241721 | Cascadia Behavioral Healthcare Inc | Nurse Practitioner | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-06-30 |
| 1568980258 | Colin Tardif | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2017-09-01 |
| 1962953471 | Brian Long | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 | 2016-10-19 |
| 1962959544 | Braydon Robbins | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-09-01 |
| 1932556230 | Everett Mccown | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-05-17 |
| 1770960437 | Caleb Fisher | Social Worker | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-05-01 |
| 1003206525 | Lindsay Young | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-02-04 |
| 1083038434 | Krista Creevan | Case Manager/Care Coordinator | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2014-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689158917 | Eric Hanneman | Counselor | 6769 Se Plum Dr, Milwaukie, OR 97222-2011 | 2018-09-22 |
| 1477062602 | Karie Marie Buss | Counselor | 2323 Se Harrison St Apt 41, Milwaukie, OR 97222-7584 | 2017-09-19 |
| 1538516307 | Brian Nelson | Counselor | 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 | 2016-05-20 |
| 1235535097 | Collin Bryant Wright | Counselor | 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 | 2014-11-06 |
| 1780996256 | Michael Joseph Pohl | Counselor | 14603 Se Woodland Way, Milwaukie, OR 97267-1339 | 2010-07-13 |
| 1720399413 | Barbara M Corkrean | Counselor | 16239 Se Mcloughlin Blvd Ste 208, Milwaukie, OR 97267-4654 | 2010-06-28 |
| 1225252612 | Benjamin D Randolph | Counselor | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 | 2007-04-13 |
| 1669519484 | Helen R Ware | Counselor | 9000 Se Mcbrod Ave, Milwaukie, OR 97222-7336 | 2007-01-31 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| 1982770905 | Molly Gordon-schnacky | Counselor | 8627 Se 28th Pl, Milwaukie, OR 97222-6311 | 2006-11-28 |
| Find all providers in MILWAUKIE | ||||
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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.