MRS. AMANDA MAE BERNAL (NPI# 1962800789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962800789 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MAE BERNAL |
| Other Name | MISS AMANDA MAE MCNULTY |
| Practice Address |
2222 E Powell Blvd Gresham OR 97080-1365 |
| Practice Telephone | 5036694300 |
| Practice Fax Number | 5036694301 |
| Mailing Telephone | 5036694300 |
| Mailing Fax Number | 5036694301 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
T1575 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12636 Se Stark St, Plaza 125 Bldg J, Portland, OR 972331058 | 5032534600 | 5037273764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716083 | Amanda E. Bernal | Counselor | 3620 N 3rd St, Phoenix, AZ 85012-2020 | 2020-07-02 |
| Street Address |
2222 E POWELL BLVD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1053939207 | Kelsey Nolan | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2020-07-13 |
| 1215584776 | Patricia Renee Shimek | Psychologist | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-08-20 |
| 1801443221 | Kinda Lilley-karkos | Student in an Organized Health Care Education/Training Program | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-08-20 |
| 1649737115 | Kayla Dawn Smith | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-02-21 |
| 1043794803 | Hillary Bell | Student in an Organized Health Care Education/Training Program | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2018-09-18 |
| 1215468665 | Western Psychological and Counseling Services PC | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2017-03-27 |
| 1710330816 | Megan Padilla | Psychologist | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2016-07-13 |
| 1720456395 | Brittany Janes | Counselor | 2222 E Powell Blvd, Gresham, OR 97080 | 2015-09-12 |
| 1609276781 | Grant Hart | Psychologist | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| 1275679896 | Alicia Marie Curtiss | Case Manager/Care Coordinator | 1911 Se Night Heron Place, Gresham, OR 97080 | 2007-01-30 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236628 | Ramon Benton | Counselor | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2018-02-21 |
| 1316450265 | Philisia Roquez | Counselor | 621 Ne Kane Dr Apt 102, Gresham, OR 97030-5968 | 2017-11-14 |
| 1184142283 | Jami L Stephens | Counselor | 406 Ne 4th St Ste 110, Gresham, OR 97030-7496 | 2017-09-08 |
| 1770940645 | Kristen Brooke Beck | Counselor | 406 Ne 4th St Ste 126, Gresham, OR 97030-7496 | 2016-01-24 |
| 1932565363 | Cheyenne Marie Jones | Counselor | 254 Nw Burnside Rd Ste 230, Gresham, OR 97030-3836 | 2016-01-14 |
| 1679939920 | Alycia Smith | Counselor | 320 N Main Ave Ste 201d, Gresham, OR 97030-7242 | 2015-12-31 |
| 1538530159 | Jamie Saechao | Counselor | 429 Se 218th Ave, Gresham, OR 97030-8502 | 2015-10-08 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1346649860 | Jade Elisabeth Elaine Thayer | Counselor | 847 Se Francis Ave, Gresham, OR 97080-1343 | 2014-08-20 |
| 1639429137 | Janet Elaine Young | Counselor | 32300 Se Bluff Rd, Gresham, OR 97080-8822 | 2012-09-12 |
| Find all providers in GRESHAM | ||||
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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.