Anne Brown (NPI# 1710266226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Identifier | Issuer | Type Code |
---|---|---|---|
OR | 22959 | MEDICAID | |
OR | 474259 | OTHER | REGENCE |
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 |
Find all providers with the same name |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psychiatric/Mental Health |
Definition to come... |
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 |
Find all providers in PORTLAND |
Street Address |
2165 SW MAIN ST |
City | PORTLAND |
State | OR |
Zip Code | 97205-1123 |
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 |
Find all providers in zip 97205 |
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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.