JAMIE VANDERGON (NPI# 1295899649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295899649 |
| Entity Type | Individual |
| Full Name | JAMIE VANDERGON |
| Credential | MS, LPC |
| Practice Address |
3550 Se Woodward St Portland OR 97202-1552 |
| Practice Telephone | 5038137769 |
| Mailing Telephone | 5038137769 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C1983 | OR | Behavioral Health & Social Service Providers |
| Street Address |
3550 SE WOODWARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235426404 | Colleen Michelle Conklin | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-07-07 |
| 1669766689 | Seth C Cordell | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-06-07 |
| 1366735326 | Megan Ann Andersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-05-24 |
| 1134410046 | Cindy L Petersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1265723191 | Christopher Laurence Anderson | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1588962732 | Ivana Micanovic | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-11 |
| 1457659781 | Christopher Pate | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-10 |
| 1518265933 | Jay N Cacka | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-09 |
| 1740582295 | Jennifer Joy Loop | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2010-12-02 |
| 1831491380 | Rebecca Lynn Gawlista | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.