SHAYNA CARTER (NPI# 1114172285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114172285 |
| Entity Type | Individual |
| Full Name | SHAYNA CARTER |
| Credential | MA |
| Practice Address |
1217 Ne Burnside Rd Building B, Suite 401 Gresham OR 97030-6722 |
| Mailing Address |
Po Box 82819 Portland OR 97282-0819 |
| Practice Telephone | 5036668832 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
060305 | OR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2072 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164936 | 05 |
| Street Address |
1217 NE BURNSIDE RD BUILDING B, SUITE 401 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541995 | Richard Boyd Phipps | Dermatology | 1217 Ne Burnside Rd, Suite 704, Gresham, OR 97030-6722 | 2005-07-08 |
| 1710414420 | Megan Angeline Reid Gomez | Chiropractor | 1217 Ne Burnside Rd, Ste 301, Gresham, OR 97030-6722 | 2017-05-12 |
| 1912443854 | Caterina Elana Robertson | Registered Nurse | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2017-01-17 |
| 1528422797 | Brooke Braga | Massage Therapist | 1217 Ne Burnside Rd, Ste # 301, Gresham, OR 97030-6722 | 2016-04-13 |
| 1407237787 | Patricia Paquette | Contractor | 1217 Ne Burnside Rd, Suite 701, Gresham, OR 97030-6722 | 2015-06-12 |
| 1023403649 | Kelley Schmautz | Massage Therapist | 1217 Ne Burnside Rd, Suite 701-d, Gresham, OR 97030-6722 | 2015-03-31 |
| 1922410224 | Jessica L Ulmer | Massage Therapist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2014-05-21 |
| 1982015160 | Erik Wold | Massage Therapist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2014-05-09 |
| 1013289735 | Balance Health & Injury Clinic, PC | Acupuncturist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-5705 | 2012-01-27 |
| 1851546139 | Nicole E Warren | Counselor | 1217 Ne Burnside Rd, Gresham, OR 97030-6722 | 2008-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044790 | Building Resiliency LLC | Counselor | 510 Ne Roberts Ave Ste 310, Gresham, OR 97030-7485 | 2017-03-13 |
| 1164882585 | Alan Wheatley | Counselor | 504 Se Myrtlewood Ln, Gresham, OR 97080-8165 | 2016-02-26 |
| 1013321967 | David J. Lowe | Counselor | 1890 Ne Cleveland Ave, Gresham, OR 97030-4210 | 2014-06-18 |
| 1790977379 | Laura Janine Sheppard | Counselor | 320 N. Main, Suite 201, Gresham, OR 97030-7429 | 2007-08-16 |
| 1932327293 | Hope Family Services | Counselor | 2710 Se 182nd Ave, Gresham, OR 97030-5013 | 2007-04-23 |
| 1457495954 | Marteen Jensen | Counselor | 510 Ne Roberts Ave Ste 350, Gresham, OR 97030-7486 | 2007-02-16 |
| 1891858890 | Alice Meree King | Counselor | 4101 Ne Division St Ste 100, Telecare Corp, Gresham, OR 97030-4617 | 2006-12-19 |
| 1639187099 | Ginna Alene Hoffman | Counselor | 2951 Nw Division St, Suite 200, Gresham, OR 97030-5292 | 2006-08-03 |
| 1104487412 | Center of Hope Counseling Services LLC | Counselor | 510 Ne Roberts Ave Ste 100, Gresham, OR 97030-7483 | 2019-06-26 |
| 1942708789 | Brandon Waupekenay | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| Find all providers in GRESHAM | ||||
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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.