NICCOLE TRAUTMAN (NPI# 1972044410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972044410 |
| Entity Type | Individual |
| Full Name | NICCOLE TRAUTMAN |
| Practice Address |
6601 Ne 78th Ct Suite A-3 Portland OR 97218-2823 |
| Practice Telephone | 5032523949 |
| Mailing Telephone | 5032523949 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C040091116 | CA | Behavioral Health & Social Service Providers |
| Street Address |
6601 NE 78TH CT SUITE A-3 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992072607 | Erin Mccabe | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2011-11-23 |
| 1932609591 | Teresa Chilton | Counselor | 6601 Ne 78th Ct, Portland, OR 97218-2823 | 2018-02-20 |
| 1508391897 | Julia Ann Cathey | Licensed Practical Nurse | 6601 Ne 78th Ct, Portland, OR 97218-2823 | 2017-04-25 |
| 1912439084 | Maurice Boss | Licensed Practical Nurse | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-29 |
| 1710418181 | Emily Creswick | Licensed Practical Nurse | 6601 Ne 78th Ct, Suite A-3, Portland, OR 97218-2823 | 2017-03-27 |
| 1699206979 | Jenna M King | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-27 |
| 1538603055 | Katie Green | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-12-19 |
| 1437609138 | Kyle Cassidy | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-10-06 |
| 1396294005 | Crc Health Oregon | Community/Behavioral Health | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-09-23 |
| 1083168090 | Corinne Stovall | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2016-08-08 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| 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.