MICHAEL PHELPS


Address: 509 Ne Alberta St, Portland, OR 97211-3976
Phone: 5032380769

MICHAEL PHELPS (NPI# 1043635329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043635329
Entity Type Individual
Full Name MICHAEL PHELPS
Practice Address 509 Ne Alberta St
Portland
OR 97211-3976
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5032380769
Enumeration Date 2014-02-24
Last Update Date 2014-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers MICHAEL PHELPS

NPI Name Taxonomy Address Enumeration
1699060780 Michael Keith Phelps Family Medicine 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 2011-06-16
1013075308 Michael Steven Phelps Dentist 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 2006-12-05
1275519555 Michael Anthony Phelps Chiropractor 690 E Morgan St, Martinsville, IN 46151-1640 2005-12-19
1811533243 Michael Phelps Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2019-11-20
1801454046 Michael Phelps Nurse Practitioner 160 Academy Ave, Greenwood, SC 29646-3808 2019-06-03
1427196591 Michael Alan Phelps Anesthesiology 600 N Wolfe St, Baltimore, MD 21287-0005 2007-02-02
1366407769 Michael H Phelps Internal Medicine 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 2006-04-19
1073583308 Michael A Phelps Surgery 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 2006-01-26

Office Location

Street Address 509 NE ALBERTA ST
City PORTLAND
State OR
Zip Code 97211-3976

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376659987 Debra Jean Cullen Counselor 509 Ne Alberta St, Portland, OR 97211-3976 2006-08-23
1952921736 Lillian E Moffitt Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2020-04-21
1841690005 Jacki Penny Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2014-08-25
1598180879 Robert Nicholas Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2014-02-24
1689096489 Allissa Andersen Case Manager/Care Coordinator 509 Ne Alberta St, Portland, OR 97211-3976 2014-01-13
1730523648 Leandro Alberto Lopez Case Manager/Care Coordinator 509 Ne Alberta St, Portland, OR 97211-3976 2013-04-22
1720323694 La Treca Phillips Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2012-12-04
1013268549 David Bowman Volker Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2012-09-24
1124377841 Carol L Nieman Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2012-09-10
1104181866 Lance Thomas Adult Companion 509 Ne Alberta St, Portland, OR 97211-3976 2012-07-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386104586 Rachel Joy Kendall Counselor 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 2019-03-22
1073014601 Kelli Minton Behavior Technician 7035 Ne 9th Ave, Portland, OR 97211 2018-02-28
1083145726 Warren H Baumann Registered Nurse 854 Ne Simpson St, Portland, OR 97211 2017-03-24
1407277411 Regina Barnett Case Manager/Care Coordinator 509 Ne Alberta St., Portland, OR 97211 2013-12-17
1578905964 Carmel Therese Irving Social Worker 5912 Ne 16th Ave, Portland, OR 97211 2013-07-25
1629310990 Lisa Peacock Counselor 4433 Ne 35 Place, Portland, OR 97211 2013-03-25
1285907915 Michele Karen Koder Pharmacist 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 2012-02-10
1629368196 Alexis Miranda Barker Massage Therapist 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 2011-04-18
1396041760 Kara Ann Fuerst Specialist 3325 Ne Prescott, Portland, OR 97211 2011-02-02
1063746337 Laura K Elvers Pharmacist 6116 Ne Mlk, Portland, OR 97211 2009-09-18
Find all providers in zip 97211

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437775558 John Alan Varner Case Manager/Care Coordinator 5833 N Lombard St, Portland, OR 97203-4115 2020-06-24
1750906228 Dwell Care LLC. Case Manager/Care Coordinator 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 2020-06-10
1871138453 Kedrick Starr Case Manager/Care Coordinator 14600 Nw Cornell Rd., Portland, OR 97229 2019-11-07
1477102077 Joslyn Bailey Gheen Case Manager/Care Coordinator 1032 Sw Main St, Portland, OR 97205-2407 2019-09-05
1497311773 Ali Tareq Ashour Case Manager/Care Coordinator 980 Forest Ave Ste 106, Portland, ME 04103-3357 2019-05-13
1427540202 Amber Tracy Ware Case Manager/Care Coordinator 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 2018-06-06
1710479209 Katherine Anne Kerr Case Manager/Care Coordinator 4307 Ne 102nd Ave, Portland, OR 97220-3439 2018-05-31
1194230664 Ankita Guchait Case Manager/Care Coordinator 14600 Nw Cornell Rd, Portland, OR 97229 2017-12-06
1083137459 David Sague Case Manager/Care Coordinator 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 2017-07-18
1538601885 Gabriela Simone Sargent Case Manager/Care Coordinator 4109 Se 113th Ave, Portland, OR 97266-2226 2016-11-16
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97211

Improve Information

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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.

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