HEATHER M OLCHAWA (NPI# 1114400348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400348 |
| Entity Type | Individual |
| Full Name | HEATHER M OLCHAWA |
| Practice Address |
1035 N Keene Way Dr Medford OR 97504-6253 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5415008814 |
| Practice Fax Number | 5415008813 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201806681RN | OR | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Swing Ln Unit 1, Medford, OR 975011790 | 5416228592 | 5416228593 |
| 100 E Main St Ste C, Medford, OR 975016041 | 5412002900 | 5412002948 |
| 524 Manzanita St, Central Point, OR 975022352 | 5412002900 | 5412002948 |
| Street Address |
1035 N KEENE WAY DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780741371 | Anita Lamee | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2007-01-02 |
| 1659938074 | Robin L Summers | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2019-05-21 |
| 1689230856 | Fred C Macfarlane | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2019-05-14 |
| 1578126215 | Ingrid L Snellings | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2019-04-18 |
| 1942769179 | Landwyn E Hall-ritchie | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2019-03-18 |
| 1548743198 | Herbert T Crayton | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2018-09-10 |
| 1174006738 | Margarita M Gonzales | Behavior Technician | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2018-09-10 |
| 1871009514 | Amy J Organ | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2017-12-18 |
| 1962926691 | Nicole Owen | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2017-08-03 |
| 1891225975 | April Hawkins-strong | Counselor | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453121 | Tarah Wright | Registered Nurse | 239 Taunton Blvd Ste A2, Medford, NJ 08055-3471 | 2018-10-23 |
| 1285853341 | Kirk William Austbo | Registered Nurse | 1911 Hazel St., Medford, OR 97504 | 2007-04-25 |
| 1902424948 | Christopher Joseph D'amore | Registered Nurse | 3200 Juanipero Way, Medford, OR 97504-8580 | 2020-07-07 |
| 1174002091 | Tiffany A Weldon | Registered Nurse | 3587 Heathrow Way, Medford, OR 97504-4004 | 2018-08-10 |
| 1790235166 | Dieguita Ann Montgomery | Registered Nurse | 140 S Holly St, Medford, OR 97501-3113 | 2016-10-10 |
| 1770932097 | Hallie Iversen | Registered Nurse | 100 E Main St Ste C, Medford, OR 97501-6041 | 2016-06-07 |
| 1619393253 | Dianne Christine Helmer | Registered Nurse | 140 South Holly Street, Medford, OR 97501 | 2014-03-06 |
| 1891122099 | Michael W Downey | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2013-10-02 |
| 1518282573 | Deborah Sue Roenbeck | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2010-04-02 |
| 1962681460 | Lisa Mccordic | Registered Nurse | 151 Mystic Ave, Suite Six, Medford, MA 02155-4632 | 2007-10-31 |
| Find all providers in MEDFORD | ||||
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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.