TIFFANI O'NEILL (NPI# 1285142802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285142802 |
| Entity Type | Individual |
| Full Name | TIFFANI O'NEILL |
| Credential | LPC |
| Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
| Mailing Address |
1620 Sw Logan St Portland OR 97219-2731 |
| Practice Telephone | 5038132000 |
| Mailing Telephone | 9712357801 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C1949 | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C1949 | OR | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | C1949 | OR | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1620 Sw Logan St, Portland, OR 972192731 | 9712357801 | 9712357801 |
| Street Address |
4855 SW WESTERN AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
| 1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
| 1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
| 1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
| 1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
| 1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
| 1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
| 1083166219 | Kaiser Foundation Health Plan of The Northwest | Dentist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654021 | Lori Michelle Severson | Counselor | 12250 Sw 2nd St Ste B-103, Beaverton, OR 97005-2828 | 2020-09-17 |
| 1215553722 | Heath Ryan Rossi | Counselor | 5352 Sw Golden Gate Way, Beaverton, OR 97078-2105 | 2020-06-20 |
| 1912546888 | Sarah Christine Petke | Counselor | 10400 Sw Cormorant Dr, Beaverton, OR 97007-8412 | 2019-12-24 |
| 1720545270 | Christine Ann Hatcher Holte | Counselor | 18221 Sw Morse Ln, Beaverton, OR 97003-3874 | 2019-02-20 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1629435441 | Hearts Made Whole Counseling, LLC | Counselor | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-01-25 |
| 1659748820 | Miles Graham Salisbury | Counselor | 12250 Sw 2nd St Ste A-103, Beaverton, OR 97005-2828 | 2015-08-24 |
| 1518201359 | Sheila Gordon | Counselor | 4073 Bayview Dr, Beaverton, MI 48612-8831 | 2012-11-17 |
| 1568714996 | Rachel Ann Frank | Counselor | 14025 Sw Farmington Rd # 160, Beaverton, OR 97005 | 2012-10-09 |
| 1750683249 | Joseph Earl Brown | Counselor | 14125 Sw Farmington Dr., Beaverton, OR 97006 | 2010-12-03 |
| Find all providers in BEAVERTON | ||||
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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.