PAMELA M WHELAN (NPI# 1063791580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063791580 |
| Entity Type | Individual |
| Full Name | PAMELA M WHELAN |
| Other Name | PAM M WHELAN |
| Credential | CADC II |
| Practice Address |
17645 Nw Saint Helens Rd Portland OR 97231-1729 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5036211069 |
| Practice Fax Number | 5036210200 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-12-26 |
| 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) |
11-06-101 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500641485 | 05 |
| Street Address |
17645 NW SAINT HELENS RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97231-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336130822 | Christine Ann Talent | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2005-11-02 |
| 1568082287 | Cecilia B Brandenburg | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2020-04-22 |
| 1952931776 | Irvin D Wilson | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2020-01-21 |
| 1790337749 | Cheyenne A Cleeton | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2019-07-10 |
| 1780187880 | Brandy M Ascencio | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2018-03-14 |
| 1134637655 | Janus K Vanderhoof | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2018-01-18 |
| 1144732702 | Ingrid A Zeckser | Registered Nurse | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-11-03 |
| 1609390020 | Charles L Wanke | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-07-27 |
| 1881116572 | Amy L Beaver | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-07-13 |
| 1760903959 | Noreen Faith Bolton | Counselor | 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538567 | Cole Andrew Byerly | Case Manager/Care Coordinator | 229 South East 4th Avenue, Albany, OR 97231 | 2007-06-29 |
| 1740311257 | Dallas Northcoutt | Case Manager/Care Coordinator | 1095 25th Street Se, Salem, OR 97231 | 2007-03-08 |
| 1023007093 | Native American Rehabilitation Association, Inc. | Clinic/Center | 17645 Nw St Helens Rd, Portland, OR 97231 | 2005-10-20 |
| 1730546433 | Meribeth Ester Malone | Specialist | 18229 Nw Reeder Rd, Portland, OR 97231-1427 | 2016-01-26 |
| 1295004075 | Leon Speroff | Obstetrics & Gynecology | 15001 Nw Skyline Blvd, Portland, OR 97231-2403 | 2011-12-22 |
| 1689713539 | Jay David Kravitz | Preventive Medicine | 14323 Nw Skyline Blvd, Portland, OR 97231-2403 | 2007-02-06 |
| 1205372430 | Lupin Cascadia Demuth | Naturopath | 11605 Nw Rock Creek Rd, Portland, OR 97231-2412 | 2017-01-11 |
| 1356556559 | Shirley Eileen Fitzgerald | Registered Nurse | 10835 Nw Brooks Rd, Portland, OR 97231-2506 | 2007-05-11 |
| 1366609240 | Anna Lattin | General Practice | 10911 Nw Quarry Rd, Portland, OR 97231-2617 | 2008-05-19 |
| 1407456429 | Alexander Emile Burday | Speech-Language Pathologist | 9001 Nw Skyline Blvd, Portland, OR 97231-2623 | 2020-10-28 |
| Find all providers in zip 97231 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.