BALANCE FOR HEALTHY LIVING, PC


Address: 3939 Ne Hancock St, Suite 115, Portland, OR 97212-5321
Phone: 5034079232

BALANCE FOR HEALTHY LIVING, PC (NPI# 1265740096) 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) 1265740096
Entity Type Organization
Organization Name BALANCE FOR HEALTHY LIVING, PC
Practice Address 3939 Ne Hancock St
Suite 115
Portland
OR 97212-5321
Practice Telephone 5034079232
Practice Fax Number 5033287081
Mailing Telephone 5034079232
Mailing Fax Number 5033287081
Enumeration Date 2010-09-14
Last Update Date 2017-02-08
Authorized Official Name TIRZAH D. JACOB (BUSINESS OWNER & PRESIDENT)
Authorized Official Telephone 5034079232
Authorized Official Credential MA, LPC, CADC-I
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
C1780 OR Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
02-11-44 OR Behavioral Health & Social Service Providers
N 101Y00000X Counselor C1780 OR Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
C1780 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500601179 05
OR CAQH 11607801 01

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names BALANCE FOR HEALTHY LIVING, PC 4729 Ne 50th Place, Portland, OR 97218

Office Location

Street Address 3939 NE HANCOCK ST
SUITE 115
City PORTLAND
State OR
Zip Code 97212-5321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799268 Ann K Murakami Psychologist 3939 Ne Hancock St, # 312, Portland, OR 97212-5321 2005-06-13
1215478300 Jessica Kieras LLC Psychologist 3939 Ne Hancock St, Suite 214, Portland, OR 97212-5321 2017-03-09
1033504188 Molly Frye Social Worker 3939 Ne Hancock St, Portland, OR 97212-5321 2015-04-04
1366886475 Yvonne Eileen Schroeder Mechanotherapist 3939 Ne Hancock St, Suite 311, Portland, OR 97212-5321 2013-04-18
1275871915 Cayla Panitz Counselor 3939 Ne Hancock St, Suite 310, Portland, OR 97212-5321 2013-01-30
1114286705 David A Ryan Social Worker 3939 Ne Hancock St, Suite 305, Portland, OR 97212-5321 2012-05-16
1558631762 Laura Santi Acupuncture Acupuncturist 3939 Ne Hancock St, Suite 208, Portland, OR 97212-5321 2012-01-04
1669758702 Laurie J Cox Social Worker 3939 Ne Hancock St, Suite 201, Portland, OR 97212-5321 2011-11-02
1851687032 Aaron Charles Vederman Clinical Neuropsychologist 3939 Ne Hancock St, Suite 212, Portland, OR 97212-5321 2011-06-25
1326366907 Ursula Joan White Nurse Practitioner 3939 Ne Hancock St, Suite #307, Portland, OR 97212-5321 2010-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
1497223051 Shira Dennis Behavioral Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013373 Ruth Tessema Counselor 2120 Ne 166th Dr, Portland, OR 97230-5558 2020-11-03
1629675582 Michelle Robydek Counselor 103 Rindle Bluff Dr, Portland, MI 48875-9435 2020-10-05
1326656240 Donald Marks Counselor 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 2020-07-16
1922624782 Marc Francis Otto Counselor 215 Ne 60th Ave, Portland, OR 97213-3721 2020-06-17
1013532183 Monica Grace Vanek Counselor 4248 Ne Skidmore St, Portland, OR 97218-1753 2020-06-14
1427670355 Leonore Elisabeth Licht-miller Counselor 1455 Sw Stephenson St, Portland, OR 97219-8222 2020-05-14
1821624834 Kara Pierce Counselor 5640 Ne 7th Ave, Portland, OR 97211-3249 2020-03-21
1932746302 Lynne Coon Counseling, LLC Counselor 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 2019-12-04
1912554809 Genevieve Pritchard Counselor 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 2019-08-24
1407312465 Jor-el Zajatz Counselor 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 2019-02-14
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Competitor

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City PORTLAND
Zip Code 97212

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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