MR. CHRISTOPHER THOMAS TUCKER (NPI# 1184995888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184995888 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER THOMAS TUCKER |
| Credential | LPC |
| Practice Address |
712 Se Hawthorne Blvd Ste 100 Portland OR 97214-3538 |
| Practice Telephone | 5033415104 |
| Mailing Telephone | 5033415104 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2436 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416403 | Christopher Tucker | Behavior Technician | 7219 John St, Jacksonville, FL 32210-4830 | 2020-01-09 |
| 1467723924 | Christopher S Tucker | Health Educator | 400 Highfield Rd, Salem, VA 24153-3262 | 2012-01-15 |
| 1205987880 | Christopher Neil Tucker | Chiropractor | 978 Second Street, Suite 100, Lafayette, CA 94549 | 2007-01-12 |
| 1427119650 | Christopher Thomas Tucker | Specialist/Technologist | 8918 35th St W, University Place, WA 98466-2108 | 2006-12-12 |
| 1104822659 | Christopher John Tucker | Physical Medicine & Rehabilitation | 2535 Ira E Woods Avenue, Grapevine, TX 76051-3930 | 2005-06-21 |
| 1942853627 | Christopher Ryan Tucker | Physician Assistant | 1414 S Grand Ave Ste 380, Los Angeles, CA 90015-3072 | 2019-07-22 |
| 1891159604 | Christopher E Tucker | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-07 |
| 1366680142 | Christopher J. Tucker | Music Therapist | 1669 W Maple Rd, Birmingham, MI 48009-1230 | 2009-02-01 |
| 1679618565 | Christopher James Tucker | Acupuncturist | 525 S Myrtle Ave, Suite 110, Monrovia, CA 91016-5103 | 2007-02-20 |
| 1679664031 | Christopher John Tucker | Orthopaedic Surgery | 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234-4501 | 2006-09-28 |
| Street Address |
712 SE HAWTHORNE BLVD STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992986319 | Nathanael Bagley | Counselor | 712 Se Hawthorne Blvd Ste 100, Portland, OR 97214-3538 | 2007-11-14 |
| 1588941082 | Jodie Jan Bagley | Counselor | 712 Se Hawthorne Blvd Ste 100, Portland, OR 97214-3538 | 2011-11-10 |
| 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 Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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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.