MR. SCOTT DELAUS KOBOLD (NPI# 1972120566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972120566 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DELAUS KOBOLD |
| Practice Address |
8285 Sw Nimbus Ave Ste 148 Beaverton OR 97008-6465 |
| Practice Telephone | 5033523260 |
| Practice Fax Number | 5033523262 |
| Mailing Telephone | 5033523260 |
| Mailing Fax Number | 5033523262 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
8285 SW NIMBUS AVE STE 148 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790922235 | Kelly Lynn Gilmore | Social Worker | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2009-01-20 |
| 1679198154 | Kristen Buffaloe | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-06-10 |
| 1194349092 | Lillian Katrina Guarrera | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-06-05 |
| 1821611328 | Emma Michelle Jorgensen | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-05-19 |
| 1457903197 | Moriah Mendez | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-07-12 |
| 1083271688 | Helen Bradley Zapletal | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-05-20 |
| 1063075638 | Andrea Lynn Larsen | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-04-18 |
| 1457816910 | Alexander Navid Rassekh | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-02-08 |
| 1033686373 | Cassidy Allison Smith | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 | 2018-10-24 |
| 1700367927 | Matthew Z. Elliott | Marriage & Family Therapist | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2018-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100339 | Alexander Deussen | Counselor | 4770 Sw 165th Ave, Beaverton, OR 97078-1922 | 2020-09-29 |
| 1073138145 | Therese Madden Rose | Counselor | 5965 Sw Menlo Dr Apt A211, Beaverton, OR 97005-4820 | 2020-06-14 |
| 1679130256 | Brittany Shannon Eide | Counselor | 4900 Sw Griffith Dr Ste 273, Beaverton, OR 97005-5607 | 2019-05-20 |
| 1881168474 | Lisa Bradfield | Counselor | 4555 Sw 142nd Ave Apt 4555sw, Beaverton, OR 97005-2534 | 2019-01-16 |
| 1578044608 | Tiffany C. Del Pozo | Counselor | 11950 Sw 2nd St, Beaverton, OR 97005-8923 | 2018-08-27 |
| 1225518202 | Heleen Woest | Counselor | 4145 Sw Watson Ave Ste 350, Beaverton, OR 97005-2191 | 2018-08-18 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1881105351 | Rebekah Springs | Counselor | 3800 Sw Cedar Hills Blvd Ste 120, Beaverton, OR 97005-4753 | 2017-10-23 |
| 1417479130 | Ruth Hescock | Counselor | 6700 Sw 105th Ave Ste 203, Beaverton, OR 97008-8824 | 2017-07-14 |
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| Find all providers in BEAVERTON | ||||
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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.