JOHN CHARLES EUBANKS (NPI# 1194209403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194209403 |
| Entity Type | Individual |
| Full Name | JOHN CHARLES EUBANKS |
| Practice Address |
3710 Sw Us Veterans Hospital Rd Portland OR 97239-2964 |
| Mailing Address |
3710 Sw Us Veterans Hospital Rd # 5c Portland OR 97239-2964 |
| Practice Telephone | 5032735049 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
201806106RN | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON NURSING LICENSE | 201806106RN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629631122 | John David Eubanks | Pharmacist | 1325 Denver Ave, Loveland, CO 80537-5120 | 2019-04-19 |
| Street Address |
3710 SW US VETERANS HOSPITAL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688556 | Richard B Ismach | Emergency Medicine | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2005-06-09 |
| 1285233510 | Leann Waggoner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2999 | 2020-10-19 |
| 1932708260 | Ashley Kinnaman | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-10-19 |
| 1407453467 | Jonna Bowles | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-10-02 |
| 1255947677 | Audrey Nicole Stuhldreher | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-21 |
| 1578178513 | Nyssa Karchefski-ross | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-15 |
| 1952916967 | David Choi | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-15 |
| 1497360085 | Jason Andrew Wargin | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-10 |
| 1760096804 | Mathew Arin Hanson | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-05 |
| 1619588803 | Julie Kahler | Psychologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407185374 | West End Practice LLC | Registered Nurse | 95 Pine St, Portland, ME 04102-3719 | 2009-12-23 |
| 1750358610 | Barbara J. Limandri | Registered Nurse | 2255 Nw Northrup St, Linfield College School of Nursing, Portland, OR 97210-2918 | 2006-02-28 |
| 1659918415 | Leslie Wright | Registered Nurse | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2019-11-28 |
| 1649705872 | Julie Wesley | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-04-25 |
| 1689034431 | Marie Ancharski | Registered Nurse | 33 Nw Broadway, Portland, OR 97209-3580 | 2016-03-07 |
| 1558751784 | Turi Sado | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2015-01-26 |
| 1477943603 | Caroline Rowney | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2015-01-26 |
| 1669739090 | Joseph Robinson | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2012-04-23 |
| 1609140292 | Megan Kathleen Bailey | Registered Nurse | 847 Ne 19th Ave, Suite 100, Portland, OR 97232-2684 | 2012-02-29 |
| 1639454747 | Elsa Renthal | Registered Nurse | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2011-10-20 |
| 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.