ALYSSA C. BRIN (NPI# 1306124276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306124276 |
| Entity Type | Individual |
| Full Name | ALYSSA C. BRIN |
| Other Name | ALYSSA C. PELHAM |
| Practice Address |
5440 Sw Westgate Dr Ste 210 Portland OR 97221 |
| Mailing Address |
15817 Ne 71st St Vancouver WA 98682-3845 |
| Practice Telephone | 3605249495 |
| Mailing Telephone | 5188109069 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 133N00000X | Nutritionist | NU60324012 | WA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12155 Sw Broadway St, Beaverton, OR 970052145 | 5035209100 | |
| 406 Se 131st Ave Ste 303, Vancouver, WA 986834014 | 3608288912 | 3608288971 |
| Street Address |
5440 SW WESTGATE DR STE 210 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912265 | Annalisa Shallahamer | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2020-04-27 |
| 1730657396 | Heidi Swartzmiller | Marriage & Family Therapist | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2018-11-12 |
| 1457878605 | Little Sparrow Counseling Services, LLC | Clinic/Center | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2017-08-28 |
| 1992226658 | Rebecca Ohler | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2017-07-03 |
| 1992155089 | Adrienne Rose Koznek | Lactation Consultant, Non-RN | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2016-06-20 |
| 1326498627 | Audra T. Lee | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2016-06-16 |
| 1073883526 | Jennifer N Levin | Social Worker | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221-2418 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| Find all providers in zip 97221 | ||||
| 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.