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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 15-CRM-105 | OR | Other Service Providers |
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 |
Street Address |
4310 NE KILLINGSWORTH STREET DEPAUL TREATMENT CENTERS |
City | PORTLAND |
State | OR |
Zip Code | 97218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952425647 | Monica L Brown | Counselor | 4310 Ne Killingsworth Street, Portland, OR 97218 | 2007-03-19 |
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 Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
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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.