TERYL JAN CLENDENIN (NPI# 1295161560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295161560 |
| Entity Type | Individual |
| Full Name | TERYL JAN CLENDENIN |
| Credential | PMHNP |
| Practice Address |
5331 Sw Macadam Ave Suite 209 Portland OR 97239 |
| Practice Telephone | 5035671062 |
| Mailing Telephone | 5035671062 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201392026NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5331 SW MACADAM AVE SUITE 209 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050406 | Kelly Osmont | Social Worker | 5331 Sw Macadam Ave, Suite 397, Portland, OR 97239-6104 | 2005-11-16 |
| 1710424338 | Good Point Acupuncture, LLC | Acupuncturist | 5331 Sw Macadam Ave, Ste 380, Portland, OR 97239 | 2017-01-20 |
| 1871952937 | Jason Wysocki | Naturopath | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2016-02-17 |
| 1528435385 | Raleigh Warren | Chiropractor | 5331 Sw Macadam Ave, Suite 307, Portland, OR 97239-6104 | 2015-08-27 |
| 1134513286 | Corpo Sano Nutrition LLC | Nutritionist | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2015-03-26 |
| 1861815318 | Alexander Kahn | Acupuncturist | 5331 Sw Macadam Ave, Ste. 380, Portland, OR 97239-6104 | 2014-02-03 |
| 1124395546 | 8 Hearts LLC | Naturopath | 5331 Sw Macadam Ave, Suite 285, Portland, OR 97239-6104 | 2011-11-30 |
| 1811287543 | Crosscurrent, Inc. | Prosthetic/Orthotic Supplier | 5331 Sw Macadam Ave, Ste 216, Portland, OR 97239-6104 | 2011-04-14 |
| 1699077966 | Jennifer Kathleen Connor-smith | Psychologist | 5331 Sw Macadam Ave, Suite 363, Portland, OR 97239-6104 | 2010-11-18 |
| 1467772178 | Jennifer Marie Bivens | Massage Therapist | 5331 Sw Macadam Ave, Suite 105, Portland, OR 97239-6104 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| 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.