MR. THOMAS EVERETTE IMIG


Address: 1030 Ne Couch St., Portland, OR 97232
Phone: 5032398400

MR. THOMAS EVERETTE IMIG (NPI# 1184017071) 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) 1184017071
Entity Type Individual
Full Name MR. THOMAS EVERETTE IMIG
Credential C.D.P.
Practice Address 1030 Ne Couch St.
Portland
OR 97232
Mailing Address 1027 E. Burnside St.
Portland
OR 97214
Practice Telephone 5032398400
Practice Fax Number 5032398407
Mailing Telephone 5032398400
Mailing Fax Number 5032698407
Enumeration Date 2015-03-17
Last Update Date 2015-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker 00004925 WA Other Service Providers

Office Location

Street Address 1030 NE COUCH ST.
City PORTLAND
State OR
Zip Code 97232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316144389 Mandy Clark Counselor 1030 Ne Couch St., Portland, OR 97232 2007-07-02
1699169946 David Poole Counselor 1030 Ne Couch St., Portland, OR 97232 2015-03-25
1265825897 Verlene Rose Baker Spec/Tech, Pathology 1030 Ne Couch St., Portland, OR 97232 2015-03-06
1942693502 Kasie M Cloud Social Worker 1030 Ne Couch St., Portland, OR 97232 2015-03-06
1720470529 Damianna Purple-crow Counselor 1030 Ne Couch St., Portland, OR 97232 2015-03-03
1558753731 Sarah Eve Puskarits Registered Nurse 1030 Ne Couch St., Portland, OR 97232 2015-02-25
1346632916 Jeffrey Ottenbacher Registered Nurse 1030 Ne Couch St., Portland, OR 97232 2015-02-19
1770975351 Jessica Michaels Asuncion Licensed Practical Nurse 1030 Ne Couch St., Portland, OR 97232 2015-02-19
1902297526 Mary Mitchel Darnell Spec/Tech, Pathology 1030 Ne Couch St., Portland, OR 97232 2015-02-18
1578954277 Nina Frick Social Worker 1030 Ne Couch St., Portland, OR 97232 2015-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972118149 Aurora Ayon Mendoza Community Health Worker 9225 Se Division St Unit C, Portland, OR 97266-1490 2020-09-14
1366066862 Rhea Wolf Community Health Worker 18766 Se Stark St, Portland, OR 97233-5330 2020-06-01
1215413570 Amy Beth Anderson Community Health Worker 3735 Se Sherman St, Portland, OR 97214-5855 2018-07-18
1740795111 Paige Snow Community Health Worker 3846 Se 16th Ave, Portland, OR 97202-3829 2017-12-07
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1164969150 Patricia Suzanne Magid-volk Community Health Worker 3842 Sw Nevada Ct, Portland, OR 97219-1513 2017-01-27
1497103493 Ruby Diane Ciarlante Community Health Worker 7803 N Portsmouth Ave, Portland, OR 97203 2016-05-31
1033565700 Jean Rathfelder Community Health Worker 3802 Sw Caldew St, Portland, OR 97219-1527 2016-05-11
1366898074 Marie Ann Coulson Community Health Worker 14988 Se Division St, Portland, OR 97236-2337 2016-05-11
1427449396 James Jennings Community Health Worker 3705 Se Market St Apt 4, Portland, OR 97214-5156 2015-02-12
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Competitor

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City PORTLAND
Zip Code 97232

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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