RENEE MARIE SELLMAN (NPI# 1295889855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295889855 |
| Entity Type | Individual |
| Full Name | RENEE MARIE SELLMAN |
| Credential | QMHA |
| Practice Address |
4101 Ne Division St Suite 100 Gresham OR 97030-4617 |
| Mailing Address |
3824 Se 72nd Ave Portland OR 97206-2514 |
| Practice Telephone | 5036663808 |
| Practice Fax Number | 5036666835 |
| Mailing Telephone | 9712121248 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4101 NE DIVISION ST SUITE 100 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041682 | Hiren T Rana | Psychiatry & Neurology | 4101 Ne Division St, Gresham, OR 97030-4617 | 2005-05-31 |
| 1356941553 | Charlene Marie Zaharakis | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2020-10-27 |
| 1225677248 | Dmitriy Flato | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-12-23 |
| 1356988158 | James Calcagno | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-30 |
| 1417593138 | Jennifer Trottier | Specialist/Technologist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-19 |
| 1902441959 | Michael Joseph Myers | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1669017513 | Shaylene Tamara Waggoner | Registered Nurse | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-11-14 |
| 1861950024 | Bridget Mary Murray | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-03-06 |
| 1124585849 | Natalia K Burgess | Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2019-02-28 |
| 1083181093 | Lori Janeen Rich | Peer Specialist | 4101 Ne Division St, Gresham, OR 97030-4617 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910073 | Kristin Anne Contreras | Case Manager/Care Coordinator | 4850 Sw 11th St Apt 110, Gresham, OR 97080-7312 | 2020-01-02 |
| 1891818563 | Gregory Dockery | Case Manager/Care Coordinator | 765 Se Mount Hood Hwy Apt B312, Gresham, OR 97080-7144 | 2007-04-09 |
| 1275679896 | Alicia Marie Curtiss | Case Manager/Care Coordinator | 1911 Se Night Heron Place, Gresham, OR 97080 | 2007-01-30 |
| 1720640923 | Beth Renah Caldwell | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-07-08 |
| 1649831702 | Katherine Banning | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-06-27 |
| 1841854601 | Monica Lynn Eddy | Case Manager/Care Coordinator | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1023540283 | Rachel Tolon | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-03-28 |
| 1831638592 | Mackenzie Rae Arrell | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2017-02-14 |
| 1851835326 | Ashley Turley | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2016-12-18 |
| 1417321043 | Sophia Chernishoff | Case Manager/Care Coordinator | 400 Ne 7th St, Gresham, OR 97030-5604 | 2015-11-19 |
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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.