LARA SIMONE D'AMORE (NPI# 1104024249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104024249 |
| Entity Type | Individual |
| Full Name | LARA SIMONE D'AMORE |
| Other Name | SIMONE D'AMORE |
| Practice Address |
9900 Sw Wilshire St Suite 190 Portland OR 97225-5035 |
| Practice Telephone | 5038774608 |
| Practice Fax Number | 9712568856 |
| Mailing Telephone | 5038774608 |
| Mailing Fax Number | 9712568856 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C3227 | OR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C3227 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500654105 | 05 |
| Street Address |
9900 SW WILSHIRE ST SUITE 190 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635363 | Julie D. Frederick | Psychologist | 9900 Sw Wilshire St, Suite 160, Portland, OR 97225-5035 | 2005-11-08 |
| 1548690373 | Amara Narten | Acupuncturist | 9900 Sw Wilshire St, Ste. 190-j, Portland, OR 97225-5035 | 2013-11-14 |
| 1447686902 | Agape Hospice Care, Inc. | Hospice Care, Community Based | 9900 Sw Wilshire St, Suite 170, Portland, OR 97225-5035 | 2013-09-16 |
| 1700162609 | Ashley Nicole Boudet | Naturopath | 9900 Sw Wilshire St, Suite 190-d, Portland, OR 97225-5035 | 2011-10-24 |
| 1346550936 | Martin N Raitiere Md | Psychiatry & Neurology | 9900 Sw Wilshire St, Ste 220, Portland, OR 97225-5035 | 2010-10-15 |
| 1326205709 | Patricia Hallam, Lac, LLC | Clinic/Center | 9900 Sw Wilshire St, Suite 190-b, Portland, OR 97225-5035 | 2008-05-21 |
| 1497930697 | Maryanne Rose | Counselor | 9900 Sw Wilshire St, #130, Portland, OR 97225-5035 | 2008-01-07 |
| 1083894034 | The Spark of Life Inc. | Chiropractor | 9900 Sw Wilshire St, Ste 170, Portland, OR 97225-5035 | 2007-11-07 |
| 1992927792 | Yarley Nystrom | Massage Therapist | 9900 Sw Wilshire St, Suite 190-e, Portland, OR 97225-5035 | 2007-05-02 |
| 1932229960 | Edward Stanford | Psychiatry & Neurology | 9900 Sw Wilshire St, Suite 260, Portland, OR 97225-5035 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.