MARCUS JACK SWINKELS (NPI# 1104448182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104448182 |
| Entity Type | Individual |
| Full Name | MARCUS JACK SWINKELS |
| Other Name | JACK SWINKELS |
| Practice Address |
7621 N Portsmouth Ave Portland OR 97203-5953 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032407599 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
7621 N PORTSMOUTH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447337753 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2006-11-01 |
| 1851918965 | Jeffrey Alan Miller | Case Manager/Care Coordinator | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2020-07-06 |
| 1912521964 | Cameron D Palm | Technician | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2020-06-05 |
| 1215550488 | Madison L Tindle | Case Manager/Care Coordinator | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2020-05-22 |
| 1669094744 | Carlos A Molina | Technician | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2020-05-12 |
| 1689212284 | Ronda M Potts-bailey | Adult Companion | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2019-12-13 |
| 1528426632 | Jenni Lovell | Counselor | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2016-02-03 |
| 1235535345 | Motlalepula Naanyane | Counselor | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2014-11-17 |
| 1912307174 | Devin Collins | Adult Companion | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2014-08-25 |
| 1255750238 | Anastasia Andoniadis | Case Manager/Care Coordinator | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2014-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| Find all providers in zip 97203 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1235367228 | New England Family Healthcare | Technician | 125 Presumpscot St., #9, Portland, ME 04103 | 2009-06-29 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| 1083212781 | Haili Michelle Jones | Technician | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2020-10-14 |
| 1316545056 | Cash A Crouse | Technician | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2020-10-14 |
| 1275131922 | Elizabeth Rose Anderson | Technician | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-10-14 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MARCUS JACK SWINKELS.
| 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.