ALAN WHEATLEY (NPI# 1164882585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164882585 |
| Entity Type | Individual |
| Full Name | ALAN WHEATLEY |
| Practice Address |
504 Se Myrtlewood Ln Gresham OR 97080-8165 |
| Mailing Address |
12135 Se Lincoln St Portland OR 97216-4064 |
| Practice Telephone | 9712314611 |
| Practice Fax Number | 9712312164 |
| Mailing Telephone | 9712314611 |
| Mailing Fax Number | 9712312164 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4051 | OR | Behavioral Health & Social Service Providers |
| Street Address |
504 SE MYRTLEWOOD LN |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-8165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| 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 |
| 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 |
| 1679071492 | Addie Mae Caldwell | 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.