MR. DAVID MARTIN VILLA (NPI# 1083906648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083906648 |
| Entity Type | Individual |
| Full Name | MR. DAVID MARTIN VILLA |
| Practice Address |
23500 Ne Halsey St Wood Village OR 97060-2815 |
| Practice Telephone | 5033289246 |
| Mailing Telephone | 5032569907 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130993 | David Villa | Counselor | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-06-26 |
| 1992271357 | David Villa | Case Manager/Care Coordinator | 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 | 2018-10-23 |
| Street Address |
23500 NE HALSEY ST |
| City | WOOD VILLAGE |
| State | OR |
| Zip Code | 97060-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356524201 | Megan Klein | Physician Assistant | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2007-12-14 |
| 1154948255 | Riverside Living Inc | Assisted Living Facility | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2020-07-06 |
| 1558749564 | David Meetze | Counselor | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2015-05-11 |
| 1326449109 | Patricia Bare | Counselor | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2014-09-11 |
| 1780085894 | Jake Nassiri | Counselor | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2014-09-08 |
| 1740696129 | Melinda S Peery | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2014-07-07 |
| 1861787988 | Kristin Nicole Mahin | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2011-06-16 |
| 1912133695 | Gregory Archer | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2009-06-08 |
| 1427295237 | Paula Vonkuster | Counselor | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2009-01-15 |
| 1558506246 | Ruth Akins | Counselor | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861921124 | Kayla Michelle Stewart | Doula | 424 Se 19th St, Troutdale, OR 97060 | 2017-06-08 |
| 1467856955 | Meghan Ellen Revoir Bennett | Naturopath | 330 Se 3rd Street, Troutdale, OR 97060 | 2014-10-13 |
| 1699012310 | Scott C Williams | Pharmacist | 22855 N.e. Parklane, Wood Village, OR 97060 | 2013-01-15 |
| 1285888636 | Dan E. Cox | Counselor | 107 E. Historic Columbia River Hwy, Suite 207, Troutdale, OR 97060 | 2008-11-12 |
| 1356592596 | Emily J White | Pulmonary Function Technologist | 735 Sw 14th St, Troutdale, OR 97060 | 2008-10-07 |
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1104072057 | Sharon Brennan | Nurse Practitioner | 2800 Sw 257th Avenue, Columbia View Family Health Center, Troutdale, OR 97060 | 2008-08-12 |
| 1902094386 | Steven Gary Cranford | Chiropractor | 1530 Sw 257th Dr., Troutdale, OR 97060 | 2007-10-10 |
| 1750581062 | Gresham-troutdale Family Medical Center | Non-Pharmacy Dispensing Site | 1700 Sw 27th Ave, Troutdale, OR 97060 | 2007-07-24 |
| 1710181755 | Valerie Kay Robertson | Specialist | 3703 Se 39th, Portland, OR 97060 | 2007-06-13 |
| Find all providers in zip 97060 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740696129 | Melinda S Peery | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2014-07-07 |
| 1861787988 | Kristin Nicole Mahin | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2011-06-16 |
| 1912133695 | Gregory Archer | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2009-06-08 |
| 1932353471 | Sarah Bolds | Case Manager/Care Coordinator | 23500 Ne Halsey St, Wood Village, OR 97060-2815 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104539 | Jessica Laine | Case Manager/Care Coordinator | 1724 Maple St Apt 7, North Bend, OR 97459-2171 | 2020-08-14 |
| 1083232862 | Olivia Suzanne Botsford | Case Manager/Care Coordinator | 2369 Nw Schmidt Way Apt 117, Beaverton, OR 97006-4775 | 2020-07-08 |
| 1255958674 | Kathy Hays | Case Manager/Care Coordinator | 17887 Sw Bryan Way, Beaverton, OR 97007-6728 | 2020-07-01 |
| 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 |
| 1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
| 1710512736 | Dominic Townsend | Case Manager/Care Coordinator | 18715 Sw Blanton St, Aloha, OR 97078-1234 | 2020-03-10 |
| 1659910073 | Kristin Anne Contreras | Case Manager/Care Coordinator | 4850 Sw 11th St Apt 110, Gresham, OR 97080-7312 | 2020-01-02 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1043853716 | Heidi Marie Davis | Case Manager/Care Coordinator | 635 3rd Ave Sw Unit 151, Albany, OR 97321-2625 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | WOOD VILLAGE |
| Zip Code | 97060 |
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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.