MISS TRISTAN ELIZABETH PICKELL (NPI# 1295873883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295873883 |
| Entity Type | Individual |
| Full Name | MISS TRISTAN ELIZABETH PICKELL |
| Practice Address |
13541 Se Market St Portland OR 97233-1752 |
| Mailing Address |
5108 Ne Orchard Dell Ct Vancouver WA 98663-1957 |
| Practice Telephone | 5032589734 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
13541 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922185255 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 13541 Se Market St, Portland, OR 97233-1752 | 2006-11-01 |
| 1871126250 | Chad Lewis Menicosy | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2020-02-13 |
| 1851933477 | Amanda Olinger | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2019-10-15 |
| 1740745082 | Jessica Magnani | Case Manager/Care Coordinator | 13541 Se Market St, Portland, OR 97233-1752 | 2019-01-31 |
| 1629544853 | Sarah Anne Whipple | Counselor | 13541 Se Market St, Portland, OR 97233-1752 | 2018-10-15 |
| 1164841144 | Coral Sandler | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2014-04-07 |
| 1720414691 | Kaye Alice Miller | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2013-09-23 |
| 1205277159 | Abigail W Wills | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2013-07-08 |
| 1649518580 | Lydia Berndt | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2013-01-28 |
| 1720347057 | Benjamin Paul Greene | Adult Companion | 13541 Se Market St, Portland, OR 97233-1752 | 2012-05-07 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1255789731 | Sherri Schroeder | Adult Companion | 847 Ne 19th Ave., Suite100, Portland, OR 97232 | 2016-05-25 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1609241371 | Denise Broom | Adult Companion | 25 Ne Stafford St, Portland, OR 97211-2241 | 2015-12-07 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MISS TRISTAN ELIZABETH PICKELL.
| 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.