Anne Brown
Anne Stark · Nurse Practitioner (Psychiatric/Mental Health)

Address: 2165 Sw Main St, Portland, OR 97205-1123
Phone: 5039151334

Anne Brown (NPI# 1710266226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1710266226
Entity Type Individual
Full Name Anne Brown
Other Name Anne Stark
Credential PMHNP
Gender Female
Practice Address 2165 Sw Main St
Portland
OR 97205-1123
Practice Telephone 5039151334
Practice Fax Number 5032962643
Mailing Address 2165 Sw Main St
Portland
OR 97205-1123
Mailing Telephone 5039151334
Mailing Fax Number 5032962643
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2011-08-15
Last Update Date 2018-03-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163WA0400X Registered Nurse · Addiction (Substance Use Disorder) Nursing Service Providers 200942680RN OR
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 201150100NP OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 22959 MEDICAID
OR 474259 OTHER REGENCE

Providers with the same name

NPI Name Taxonomy Address Enumeration
1790005411 Anne Debra Brown Massage Therapist 1834b Jaclif Ct, Tallahassee, FL 32308-4400 2010-06-04
1508031238 Anne Zaranski Brown Nurse Practitioner 89 Sherwood Pl, Greenwich, CT 06830-5606 2008-04-24
1891832911 Anne Catherine Brown Family Medicine 12827 Lenover St, Dillsboro, IN 47018 2007-01-30
1306998224 Anne Ruth Brown Speech-Language Pathologist 2726 Sleater Kinney Rd Ne, Olympia, WA 98506-3044 2007-01-18
1629007232 Anne Jc Brown Internal Medicine 198 Main St Ste A, Lewiston, ME 04240-7074 2006-07-03
1336655968 Anne Meredith Brown Physician Assistant 205 Westport Dr, Cabot, AR 72023-3657 2017-12-19
1295288066 Anne Brown Counselor 2460 W 26th Ave, Denver, CO 80211-5308 2016-07-28
1346642915 Anne Brown Speech-Language Pathologist 711 Avignon Dr, Ridgeland, MS 39157-5120 2014-09-25
1528320462 Anne Theresa Brown Acupuncturist 45 Carey Ave, Suite 107, Butler, NJ 07405-1475 2012-06-15
1891098356 Anne Elizabeth Brown Counselor 4300 N Miller Rd, Suite 222, Scottsdale, AZ 85251-3619 2010-12-06
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Physician Overview

NPI 1710266226
PAC ID by PECOS 4183882624
Professional Enrollment ID I20120229000840
Full Name Anne T Stark
Organization Legal Name MULTNOMAH COUNTY
Phone Number 5039883663
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6608771787
Number of Group Practice Members 89
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Office Location

Street Address 2165 SW MAIN ST
City PORTLAND
State OR
Zip Code 97205-1123

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952906778 Synaptic Integrative Care LLC Naturopath 1020 Sw Taylor St. Ste 650, Portland, OR 97205 2020-12-01
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
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Competitor

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City PORTLAND
Zip Code 97205

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Dataset Information

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.