BRAYDON ROBBINS (NPI# 1962959544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962959544 |
| Entity Type | Individual |
| Full Name | BRAYDON ROBBINS |
| Practice Address |
17070 Se Mcloughlin Blvd Milwaukie OR 97267-4960 |
| Mailing Address |
3200 Se 78th Ave Portland OR 97206 |
| Practice Telephone | 5033038000 |
| Mailing Telephone | 9074407646 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15-02-11 | OR | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Se 78th Ave, Portland, OR 972061735 | 9074407646 |
| 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 |
| 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 |
| 1932513884 | Andrew Wiencken | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2014-06-19 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566821 | Nicole Lind Stiver | Counselor | 10500 Se 26th Ave Apt D16, Milwaukie, OR 97222-9615 | 2018-07-31 |
| 1699263020 | Randall S Seltmann | Counselor | 13850 Se Autumn Ridge Ter # 4, Milwaukie, OR 97267-2150 | 2018-05-01 |
| 1265941140 | Ashawlaway Counseling, LLC | Counselor | 10883 Se Main St Ste 204, Milwaukie, OR 97222-7641 | 2017-09-23 |
| 1821440173 | Angela Gilchrist | Counselor | 2535 Se Harrison St Ste 202, Milwaukie, OR 97222-7530 | 2016-07-11 |
| 1821474081 | Barbara Majors | Counselor | 2115 Se Adams St Ste B, Milwaukie, OR 97222-7773 | 2015-08-10 |
| 1912303355 | Mikaela Shrumm | Counselor | 4545 Se Ina Ave Apt 9, Milwaukie, OR 97267-5918 | 2014-11-12 |
| 1982957049 | Lisa Ann Langstraat | Counselor | 11630 Se 40th Ave Ste A, Milwaukie, OR 97222-6195 | 2012-10-25 |
| 1346543303 | Raymond Jones | Counselor | 11458 Se Mceachron Ave, Milwaukie, OR 97222-1264 | 2010-12-14 |
| 1780912592 | Linnea Stenhouse | Counselor | 4105 Se International Way, Suite 501, Milwaukie, OR 97222-8855 | 2009-12-07 |
| 1003007915 | Shannon Marie Beard | Counselor | 13455 Se Oatfield Rd Apt 28, Milwaukie, OR 97222-7058 | 2007-08-06 |
| 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.