MICHELLE NICOLE LYNCH


Address: 4310 Ne Killingsworth Street, Depaul Treatment Centers, Portland, OR 97218
Phone: 5035351151

MICHELLE NICOLE LYNCH (NPI# 1952760670) 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) 1952760670
Entity Type Individual
Full Name MICHELLE NICOLE LYNCH
Credential CRM
Practice Address 4310 Ne Killingsworth Street
Depaul Treatment Centers
Portland
OR 97218
Mailing Address Po Box 3007
Depaul Treament Centers
Portland
OR 97208-3007
Practice Telephone 5035351151
Mailing Telephone 5035351151
Enumeration Date 2016-02-23
Last Update Date 2016-02-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 15-CRM-105 OR Other Service Providers

Other Providers MICHELLE LYNCH

NPI Name Taxonomy Address Enumeration
1366922767 Michelle Lee Lynch Licensed Vocational Nurse 354 Frog Pond Rd, Lone Oak, TX 75453-0010 2018-08-15
1285839266 Michelle C Lynch Occupational Therapist 110 Carl Rd, Grand Island, NY 14072-2232 2007-06-19
1508993684 Michelle Lynn Lynch Counselor 285 South St., Suite M, San Luis Obispo, CA 93401 2007-02-27
1316956352 Michelle Lynn Lynch Psychologist 100 Little Dr, Lower Burrell, PA 15068-3345 2006-08-07
1841801248 Michelle D Lynch Occupational Therapy Assistant 13137 N Clio Rd, Clio, MI 48420-1028 2020-08-11
1235786138 Michelle Ann Lynch Optometrist 17850 Halsted St, Homewood, IL 60430-2012 2019-08-25
1417504499 Michelle Diane Lynch Physician Assistant 880 W Central Rd Ste 5000, Arlington Heights, IL 60005-2355 2019-08-23
1265922603 Michelle Ann Lynch Social Worker 3251 W 9th St, Waterloo, IA 50702-5310 2018-05-11
1285176701 Michelle Lynch Registered Nurse 4525 N Central Ave, Phoenix, AZ 85012-1816 2016-11-15
1952650723 Michelle Margaret Lynch Speech-Language Pathologist 171 Lake St, Ramsey, NJ 07446-2089 2012-09-07

Office Location

Street Address 4310 NE KILLINGSWORTH STREET
DEPAUL TREATMENT CENTERS
City PORTLAND
State OR
Zip Code 97218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952425647 Monica L Brown Counselor 4310 Ne Killingsworth Street, Portland, OR 97218 2007-03-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852726 Alex Margarito Specialist/Technologist 6801 Necornfoot Rd, Fpo, AA 97218 2019-10-14
1083101943 Joyce M Larkins Specialist 5852 Ne 42nd Ave., Portland, OR 97218 2018-04-17
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
1093266405 Jean Hansen Counselor 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1174913636 Kirsten Kelly-chambers Counselor 4310 Ne Killinsworth Street, Portland, OR 97218 2015-02-04
1386962074 Kathleen Kuhlmey Sheridan Nurse Practitioner 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
1003049909 Kevin Richardson Adult Companion 5029 Ne Killingsworth St, Portland, OR 97218 2009-08-26
1366676462 Bobbi Gabriele Kennedy Military Health Care Provider 6801 Ne Cornfoot Road, Portland, OR 97218 2009-05-05
1396980751 Jamie Mercile Taylor Counselor 4310 N.e Kilingsworth, Portland, OR 97218 2008-12-12
1902041460 Brandi Danielle Hess Counselor 4450 Ne 76th, Portland, OR 97218 2008-12-11
Find all providers in zip 97218

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1245896307 Anthony James Hardy Peer Specialist 10336 Ne Wygant St, Portland, OR 97220-3368 2019-05-14
1881155596 Laray Jermaine Thomas Peer Specialist 11509 Se Stephens St, Portland, OR 97216-3660 2019-03-26
1932684248 Dorothy Joanna Burton Peer Specialist 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 2018-10-02
1750886255 Steven Wade Peer Specialist 4512 Ne Portland Hwy, Portland, OR 97218-1363 2018-03-27
1669991212 Kimberly Jaye Randall Peer Specialist 17214 Se Division St Ste 2, Portland, OR 97236-1282 2017-09-14
1689103897 Walter Bulter Peer Specialist 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 2017-06-09
1306373543 Brenda Kay Mitchell Peer Specialist 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 2017-05-18
1760914493 Changing Perceptions Peer Specialist 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 2017-03-31
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97218

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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