Peter H Addy LLC (NPI# 1902412166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1902412166 |
| Entity Type | Organization |
| Organization Name | PETER H ADDY LLC |
| Practice Address |
524 N Tillamook St Ste 102b Portland OR 97227-1993 |
| Practice Telephone | 9713364956 |
| Practice Fax Number | 9712002427 |
| Mailing Address |
524 N Tillamook St Ste 102b Portland OR 97227-1993 |
| Mailing Telephone | 9713364956 |
| Mailing Fax Number | 9712002427 |
| Authorized Official Name | Dr. Peter H Addy (OWNER) |
| Authorized Official Telephone | 9713364956 |
| Authorized Official Credential | PHD |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Counselor · Mental Health | Behavioral Health & Social Service Providers |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396348322 | Jonnie Sid Napier | Counselor | 1219 Se Lafayette St, Portland, OR 97202-3802 | 2020-11-20 |
| 1760085286 | Ifs Telehealth Collective Inc | Counselor | 1130 Sw Morrison St Ste 328, Portland, OR 97205-2214 | 2020-11-18 |
| 1922601525 | Haley Jones | Counselor | 1905 Nw 29th Ave Apt 101, Portland, OR 97210-5332 | 2020-11-17 |
| 1932702701 | Lisa Headings | Counselor | 1525 Se 44th Ave Apt 203, Portland, OR 97215-3176 | 2020-11-16 |
| 1154923308 | Matthew Rudd Reynolds | Counselor | 2929 Sw Multnomah Blvd Ste 203b, Portland, OR 97219-4070 | 2020-11-12 |
| 1487256186 | Bishop Medical Group LLC | Counselor | 1250 Forest Ave Ste 201, Portland, ME 04103-6403 | 2020-11-09 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| Find all providers in PORTLAND | ||||
| Street Address |
524 N TILLAMOOK ST STE 102B |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
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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.