DR. MARISSA OHLSTROM (NPI# 1043775737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043775737 |
| Entity Type | Individual |
| Full Name | DR. MARISSA OHLSTROM |
| Credential | PSYD |
| Practice Address |
1151 N Adair St Cornelius OR 97113-8900 |
| Mailing Address |
Po Box 6149 Beaverton OR 97007-0149 |
| Practice Telephone | 5033595564 |
| Practice Fax Number | 5033574371 |
| Mailing Telephone | 5033528642 |
| Mailing Fax Number | 5033528658 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60894649 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1151 N ADAIR ST |
| City | CORNELIUS |
| State | OR |
| Zip Code | 97113-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966918 | Angelina A. Platas | Internal Medicine | 1151 N Adair St, Ste. 210, Cornelius, OR 97113-8900 | 2005-10-19 |
| 1316588809 | Vivian Thao Phuong Chau | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-10-05 |
| 1477108256 | Miranda Patricia Steinkopf | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-08-07 |
| 1073171658 | Bradley Ramos | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-05-30 |
| 1124686688 | Natalie Arndt | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-05-30 |
| 1851955439 | Stephanie Wienkers | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-04-29 |
| 1013480102 | Cynthia Winsor-mercurio | Dietitian, Registered | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-01-10 |
| 1952893828 | Jessica Merlo | Student in an Organized Health Care Education/Training Program | 1151 N Adair St, Cornelius, OR 97113-8900 | 2018-06-05 |
| 1699262816 | Megan T Pham | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2018-04-13 |
| 1811484033 | Kyle Meeuwsen | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2018-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
| 1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
| 1083929277 | Wal-mart Stores Inc | Technician/Technologist | 220 N Adair, Cornelius, OR 97113 | 2010-08-11 |
| 1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
| 1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
| Find all providers in zip 97113 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724642 | Harborside Wellbeing, Pllc | Psychologist | 17505 W Catawba Ave Ste 100, Cornelius, NC 28031-8065 | 2016-08-08 |
| 1205205143 | Pholile Dlamini | Psychologist | 18121 W Catawba Ave Ste 5, Cornelius, NC 28031-5641 | 2015-09-22 |
| 1972583912 | Carol E. Armstrong | Psychologist | 8211 Village Harbor Dr, Cornelius, NC 28031-3706 | 2006-01-17 |
| 1073112181 | Beatrice Tauber Prior | Psychologist | 17505 W Catawba Ave Ste 100, Cornelius, NC 28031-8065 | 2020-10-20 |
| 1255952461 | Safety Harbor Assessment and Therapy Services, Pllc | Psychologist | 18121 W Catawba Ave Ste 5, Cornelius, NC 28031-5641 | 2020-04-28 |
| 1376999359 | Carol Armstrong, Psy.d., Pllc | Psychologist | 8211 Village Harbor Dr, Cornelius, NC 28031-3706 | 2016-05-10 |
| 1639303985 | Irma B Rosales Villegas | Psychologist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2009-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456058 | Southern Oregon Cbt LLC | Psychologist | 690 G St Ste C, Jacksonville, OR 97530-3208 | 2020-08-07 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1497377188 | Lois Michaud, Ph.d. | Psychologist | 570 Lawrence St Ste 106, Eugene, OR 97401-2586 | 2020-05-15 |
| 1871114793 | Lola White Psyd LLC | Psychologist | 388 State St Ste 704, Salem, OR 97301-4023 | 2020-05-01 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1407498918 | Skyhook Fitness | Psychologist | 12008 Sw Garden Pl, Tigard, OR 97223-8263 | 2019-10-16 |
| 1720639958 | Steven C Schoger Psy D LLC | Psychologist | 10 Crater Lake Ave Ste 21, Medford, OR 97504-7445 | 2019-09-29 |
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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.