MR. STEPHEN RUSSELL RICHARDSON I


Address: 1312 Sw Washington St, Portland, OR 97205-2327
Phone: 5035351150

MR. STEPHEN RUSSELL RICHARDSON I (NPI# 1952619249) 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) 1952619249
Entity Type Individual
Full Name MR. STEPHEN RUSSELL RICHARDSON I
Other Name MR. STEVE RUSSELL RICHARDSON I
Credential AAEE
Practice Address 1312 Sw Washington St
Portland
OR 97205-2327
Mailing Address 2046 Nw Flanders St
21
Portland
OR 97209-1159
Practice Telephone 5035351150
Practice Fax Number 5035351191
Mailing Telephone 5038042520
Enumeration Date 2010-09-20
Last Update Date 2010-09-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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1598151029 Stephen Richardson Anesthesiology 500 Harvard St Se, Minneapolis, MN 55455-0363 2015-04-10
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Office Location

Street Address 1312 SW WASHINGTON ST
City PORTLAND
State OR
Zip Code 97205-2327

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992844203 Tim C Gilles Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2007-02-05
1144836362 Ellen Corinne Dungy Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-22
1568077352 Kori Hill Student in an Organized Health Care Education/Training Program 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-09
1013521673 Claire Whigham Marriage & Family Therapist 1312 Sw Washington St, Portland, OR 97205-2327 2020-09-01
1871105775 Haylee Bush Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-08-20
1780206615 Fikirte Asefa Belew II Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-05-14
1639791999 Todd Yates Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-05-10
1366072001 Shnonya Holiman Peer Specialist 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-22
1841820735 Adrian Herrera Gonzalez Registered Nurse 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-21
1346880614 Brandon James Pettit Counselor 1312 Sw Washington St, Portland, OR 97205-2327 2020-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97205

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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