SOPHIA MACLEAN (NPI# 1275025389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275025389 |
| Entity Type | Individual |
| Full Name | SOPHIA MACLEAN |
| Other Name | VINCENT MACLEAN |
| Practice Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Mailing Address |
6525 Se 81st Ave Portland OR 97206-7130 |
| Practice Telephone | 5032584690 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
11035 NE SANDY BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814665 | Beth Diane French | Psychologist | 11035 Ne Sandy Blvd, Portland, OR 97220 | 2006-10-12 |
| 1356948608 | Baylee Bullock | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-10-08 |
| 1780290411 | Azin Ghoreyshi | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-09-17 |
| 1992317473 | Daisy Ulloa Bahena | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-08-17 |
| 1881221919 | Brittany M Russ | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2020-03-26 |
| 1891330593 | Cynthia Ceciliani | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-11-17 |
| 1710529599 | Vanessa Sanchez-mexicano | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-12 |
| 1407498306 | Caren Elizabeth Summers-nomura | Case Manager/Care Coordinator | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-10-11 |
| 1265080592 | Lauren M Wenzinger | Counselor | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-29 |
| 1083261127 | Alison Harriot | Student in an Organized Health Care Education/Training Program | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831371525 | Rebecca Barron | Military Health Care Provider | 6767 North Basin Ave, Portland, OR 97217 | 2007-12-04 |
| 1730352766 | Emily Rae Gunesch | Military Health Care Provider | 1500 Ne Irving St, Portland, OR 97232-2243 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962696468 | Joseph Paul Stein | Military Health Care Provider | 39302 Stratford Pl, Sandy, OR 97055-5314 | 2007-08-29 |
| 1528423522 | Jaclyn Carricato | Military Health Care Provider | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2015-12-18 |
| 1407054323 | Medical Department Uscg | Military Health Care Provider | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2007-07-03 |
| 1770608424 | Us Coast Guard Medical Clinic North Bend | Military Health Care Provider | 2000 Connecticut Ave, North Bend, OR 97459-2300 | 2007-03-20 |
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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.