BONITA BAXTER (NPI# 1033665898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033665898 |
| Entity Type | Individual |
| Full Name | BONITA BAXTER |
| Practice Address |
400 Ne 7th Street Gresham OR 97030 |
| Mailing Address |
14600 Nw Cornell Road Portland OR 97229 |
| Practice Telephone | 5036615455 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
400 NE 7TH STREET |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| 1962888644 | Erica Johnson | Physical Therapist | 24076 Se Stark St., Gresham, OR 97030 | 2015-08-05 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623602 | Vistas Counseling, LLC | Counselor | 406 Ne 4th St Ste 106, Gresham, OR 97030-7496 | 2018-09-21 |
| 1811476518 | Amanda Gene Evans Mahony | Counselor | 233 Sw Wallula Ave, Gresham, OR 97080-6858 | 2018-08-13 |
| 1265735088 | Michael Arthur Rhys Pasimio | Counselor | 123 E Powell Blvd Ste 212, Gresham, OR 97030-7622 | 2010-12-16 |
| 1053636001 | Jamie Williams | Counselor | 25050 Se Stark St Ste 300, Gresham, OR 97030-3388 | 2010-04-01 |
| 1487829883 | Annette Pauline Latender | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-04-25 |
| 1447425145 | Mary Bernadette Barney | Counselor | N2150 Kesaehkahtek, Gresham, WI 54128 | 2008-04-24 |
| 1851519128 | Miguel Tellez | Counselor | 775 Ne 9th St, Gresham, OR 97030-5668 | 2007-04-23 |
| 1619095338 | Emelie M Thompson | Counselor | 400 Ne 7th, Gresham, OR 97030 | 2007-03-27 |
| 1326153495 | Daniel Martin Dickinson | Counselor | 1550 Nw Eastman Pkwy Ste 100, Gresham, OR 97030-3830 | 2006-08-20 |
| 1245254754 | Erin Leigh Menczer | Counselor | 1700 Nw Civic Dr., Suite 310, Gresham, OR 97030 | 2006-07-27 |
| Find all providers in GRESHAM | ||||
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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.