DR. MARTHA VILLEGAS-GUTIERREZ


Address: 12636 Se Stark St Bldg J, Portland, OR 97233-1058
Phone: 5032534609

DR. MARTHA VILLEGAS-GUTIERREZ (NPI# 1295127637) 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) 1295127637
Entity Type Individual
Full Name DR. MARTHA VILLEGAS-GUTIERREZ
Credential PH.D.
Practice Address 12636 Se Stark St Bldg J
Portland
OR 97233-1058
Mailing Address 516 Se Morrison St Ste 221
Portland
OR 97214-2342
Practice Telephone 5032534609
Mailing Telephone 5037027558
Enumeration Date 2015-02-23
Last Update Date 2018-03-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2027 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 164936 05
OR MEDICARE 0000WDBCH 01

Office Location

Street Address 12636 SE STARK ST BLDG J
City PORTLAND
State OR
Zip Code 97233-1058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255421160 Michelle Dawn Craig Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2006-10-13
1164036455 Abigail Elizabeth Schultz Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2020-09-03
1144704214 Sharon M Hatrak Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2018-09-24
1669991295 Debbie Kielty Social Worker 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2017-09-14
1629511472 Western Psychological and Counseling Services PC Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2016-11-28
1376908467 Eugenia Salomon Marriage & Family Therapist 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2015-12-16
1659757185 Sasha Stel-ferguson Social Worker 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2015-08-06
1578949640 Laura Lyons Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2015-07-30
1740566496 Megan Larraine Rabon Psychologist 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2011-10-26
1568750230 Maria Berman Counselor 12636 Se Stark St Bldg J, Portland, OR 97233-1058 2011-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448164 Moore Therapy Services, LLC Behavioral Analyst 2053 Se 181st Ave, Portland, OR 97233 2020-08-20
1427563733 Central City Concern Inc Clinic/Center 1415 Se 122nd Ave, Portland, OR 97233 2017-12-08
1427573443 Sunshine Ahc In Home Supportive Care 2217 Se 156th Ave, Portland, OR 97233 2017-08-10
1538609433 Nathaniel Davis Jr. Counselor 8915 Se Center St, Tigard, OR 97233 2017-02-27
1154878627 Oregon Outreach Inc Case Management 1740 South East 139th Avenue, Portland, OR 97233 2016-09-01
1023461019 Julianne Baltzley Counselor 2409 Se 149th Avenue, Portland, OR 97233 2016-07-14
1710332143 Emma Slater Counselor 12360 Se Burnside, Portland, OR 97233 2016-05-04
1245621952 Gregory Brett Bledsoe Counselor 1427 Se 182nd Ave., Portland, OR 97233 2015-02-17
1396149852 Jacqueline Bension Counselor 1705 Se 122nd Ave, Portland, OR 97233 2014-10-13
1700206950 Olga I Zlatova I Dental Hygienist 325 Se 154th Ave, Portland, OR 97233 2014-04-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007387 Lyle Vintinner Psychologist 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 2020-09-11
1194341297 Natalie Dawn Mitchell Psychologist 3762 Sw Council Crest Dr, Portland, OR 97239-1595 2020-06-24
1992331607 Erin A. Mueller Psychologist 718 Sw Alder St Ste 200, Portland, OR 97205-3423 2020-03-14
1952940520 Timothy Allen Cooper Psychologist 3331 Sw Hamilton Ct, Portland, OR 97239-1256 2019-12-31
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1093373631 Emily Catherine Stasko Psychologist 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 2019-05-29
1174094544 Juniper Psychological Services Psychologist 2827 Ne Alberta St, Portland, OR 97211-6350 2018-12-11
1528539335 Mark G Kiefner Phd LLC Psychologist 225 Commercial St Ste 403, Portland, ME 04101-6603 2018-12-06
1467941831 Shannon Madore Psychologist 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 2018-05-01
1033637202 Kaylin Jones Psychologist 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 2017-09-07
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Competitor

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City PORTLAND
Zip Code 97233

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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