JOHN BLOMBERG (NPI# 1043682289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043682289 |
| Entity Type | Individual |
| Full Name | JOHN BLOMBERG |
| Credential | PTA |
| Practice Address |
9750 Ne Glisan St Portland OR 97220-4449 |
| Mailing Address |
11712 Nw 38th Ave Vancouver WA 98685-3550 |
| Practice Telephone | 5032563920 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | P1 60569439 | WA | Other Service Providers |
| Street Address |
9750 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791214 | Care Center (glisan) Inc | Skilled Nursing Facility | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2005-09-22 |
| 1912370412 | Stacy Louise Richards | Occupational Therapist | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2015-11-05 |
| 1588803456 | Kaley M Murdock | Clinic/Center | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2009-02-16 |
| 1265624175 | Emma Karen Counts | Physical Therapist | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-14 |
| 1487846861 | Nicole Irene Hammonds | Physical Therapy Assistant | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-09 |
| 1477745859 | Lois Ellen Pyles | Occupational Therapy Assistant | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-09 |
| 1558553933 | Jessica Dawn Enderton | Physical Therapist | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-09 |
| 1306038781 | Paulette A Wheeler | Occupational Therapist | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-09 |
| 1396936837 | Jan E Davis-shelley | Occupational Therapy Assistant | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-08-08 |
| 1568652188 | Barbara Lane | Physical Therapy Assistant | 9750 Ne Glisan St, Portland, OR 97220-4449 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118149 | Aurora Ayon Mendoza | Community Health Worker | 9225 Se Division St Unit C, Portland, OR 97266-1490 | 2020-09-14 |
| 1366066862 | Rhea Wolf | Community Health Worker | 18766 Se Stark St, Portland, OR 97233-5330 | 2020-06-01 |
| 1215413570 | Amy Beth Anderson | Community Health Worker | 3735 Se Sherman St, Portland, OR 97214-5855 | 2018-07-18 |
| 1740795111 | Paige Snow | Community Health Worker | 3846 Se 16th Ave, Portland, OR 97202-3829 | 2017-12-07 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1164969150 | Patricia Suzanne Magid-volk | Community Health Worker | 3842 Sw Nevada Ct, Portland, OR 97219-1513 | 2017-01-27 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1033565700 | Jean Rathfelder | Community Health Worker | 3802 Sw Caldew St, Portland, OR 97219-1527 | 2016-05-11 |
| 1366898074 | Marie Ann Coulson | Community Health Worker | 14988 Se Division St, Portland, OR 97236-2337 | 2016-05-11 |
| 1427449396 | James Jennings | Community Health Worker | 3705 Se Market St Apt 4, Portland, OR 97214-5156 | 2015-02-12 |
| Find all providers in PORTLAND | ||||
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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.