SUSAN HARE


Address: 3125 E Burnside St, Portland, OR 97214-2073
Phone: 5033187103

SUSAN HARE (NPI# 1124320338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124320338
Entity Type Individual
Full Name SUSAN HARE
Credential LMT
Practice Address 3125 E Burnside St
Portland
OR 97214-2073
Mailing Address 9612 Se 44th Ave
Milwaukie
OR 97222-5102
Practice Telephone 5033187103
Mailing Telephone 5033187103
Enumeration Date 2010-11-19
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 7091 OR Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3430 Se Belmont St, Suite 204, Portland, OR 972144247 5033187103

Other Providers SUSAN HARE

NPI Name Taxonomy Address Enumeration
1851670905 Susan D. Hare Nurse Anesthetist, Certified Registered 200 State Highway 30 W, New Albany, MS 38652-3112 2011-08-08
1154392058 Susan M Hare Internal Medicine 322 W Main St, Tilton, NH 03276-5017 2006-01-30
1831199793 Susan C Hare Speech-Language Pathologist 123 Everett Rd, Albany, NY 12205-1407 2005-07-21

Office Location

Street Address 3125 E BURNSIDE ST
City PORTLAND
State OR
Zip Code 97214-2073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043867369 Alyson Joan Lee-whitney Acupuncturist 3125 E Burnside St, Portland, OR 97214-2073 2019-08-21
1881124345 Paula Renee Rashkow Acupuncturist 3125 E Burnside St, Portland, OR 97214-2073 2017-06-18
1033518709 Evolve Wellness Chiropractor 3125 E Burnside St, Portland, OR 97214-2073 2014-08-19
1952600124 Mandala Medicine Acupuncture LLC Physical Therapist 3125 E Burnside St, Portland, OR 97214-2073 2011-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1639616436 Erin Elizabeth Weaver Acupuncturist 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 2017-01-31
1780126045 Katherine Aravamudan, Lpc, LLC Community/Behavioral Health 1312 E. Burnside Street, Portland, OR 97214 2016-11-17
1003358441 Michelle Jean Meadows Massage Therapist 2804 Se Lincoln St, Portland, OR 97214 2016-11-16
1629429311 Stephanie Tolentino Counselor 605 Se Cesar E Chavez Blvd., Portland, OR 97214 2016-06-24
1790141166 Marian Iris Dixon Massage Therapist 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 2016-01-14
1194194589 Lutheran Community Services Northwest Community/Behavioral Health 605 Se Cesar E Chavez Bld, Portland, OR 97214 2015-09-16
1497123566 Michele R. Stokes Specialist 2311 East Burnside B1, Portland, OR 97214 2015-09-08
Find all providers in zip 97214

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536560 Irina A Mcgaughey Specialist 610 Sw Alder St Ste 920, Portland, OR 97205-3610 2020-10-19
1780294181 Cynthia R Mendoza Specialist 2245 Se Powell Blvd, Portland, OR 97202-2143 2020-07-31
1679199335 Alter Image, Inc. Specialist 2340 Se Gladstone St, Portland, OR 97202-2962 2020-06-18
1770044281 Donnissa Smith Specialist 117 Se 129th Ave, Portland, OR 97233-1503 2019-03-27
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1578097218 Alicia N Keys Specialist 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 2017-04-19
1942734736 Mom By Lj Specialist 2906 N Willamette Blvd, Portland, OR 97217-4073 2017-04-18
1659811198 Ricardo H. Medina Specialist 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 2017-03-02
1730626805 Jennifer Frank Specialist 1008 Se 112th Ave, Portland, OR 97216-3516 2017-01-26
1720523012 Andrea Lett Specialist 4627 Ne 30th Ave, Portland, OR 97211-7001 2016-12-22
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97214

Improve Information

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Dataset Information

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.

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