HUBERT MATTHEW HUCKABEE (NPI# 1265674725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265674725 |
| Entity Type | Individual |
| Full Name | HUBERT MATTHEW HUCKABEE |
| Practice Address |
9111 Ne Sunderland Ave Portland OR 97211-1708 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032806646 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
9111 NE SUNDERLAND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003015090 | Michael Peter Kender | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2007-07-11 |
| 1700426087 | Michelle Lee Frost | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2020-01-14 |
| 1033756085 | Satoya Johnson | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2019-12-09 |
| 1023528254 | Brett C Moler | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2017-10-02 |
| 1841660552 | Chelsea Bucina | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2015-10-07 |
| 1154741668 | Westcare Oregon | Substance Abuse Rehabilitation Facility | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2014-04-23 |
| 1225382450 | Oren Jacob Selah | Adult Companion | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-11-09 |
| 1982954632 | Ellen Linnea Topness | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-09-10 |
| 1669736047 | Faye Kozonis | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-06-29 |
| 1164798963 | Scott Eugene Engel | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.