PHOENIX RISING PSYCHOLOGY (NPI# 1306352281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306352281 |
| Entity Type | Organization |
| Organization Name | PHOENIX RISING PSYCHOLOGY |
| Practice Address |
1515 Nw 23rd Ave Portland OR 97210-2617 |
| Mailing Address |
3522 Ne 61st Ave Portland OR 97213-3210 |
| Practice Telephone | 9721238965 |
| Mailing Telephone | 9712389656 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | DR. SARAH ANNE VORUZ (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 9712389656 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2610 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PHOENIX RISING PSYCHOLOGY | 1515 Nw 23rd Ave, Portland, OR 97210 |
| Oregon Corporations, Companies and Business Names | PHOENIX RISING PSYCHOLOGY, LLC | 1515 Nw 23rd Ave, Portland, OR 97210 |
| Street Address |
1515 NW 23RD AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081584 | Sarah Voruz | Counselor | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2013-10-03 |
| 1700424785 | Empowered Living Therapy, LLC | Clinic/Center | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-12-20 |
| 1194369462 | Amber Star Pollard | Massage Therapist | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-10-30 |
| 1568004141 | Allyne Hylace | Massage Therapist | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-10-15 |
| 1053977371 | Melody Pinson | Massage Therapist | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-05-13 |
| 1437714904 | Christina Figueroa Brice | Massage Therapist | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-05-09 |
| 1720643786 | The Float Shoppe, Inc. | Clinic/Center | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2019-05-06 |
| 1316446800 | Mari Ane Anderson | Acupuncturist | 1515 Nw 23rd Ave, Portland, OR 97210-2617 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999841 | Laura Gottfried Lcsw Inc. | Clinic/Center | 145 Newbury St Ste 2, Portland, ME 04101-4261 | 2020-10-13 |
| 1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
| 1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
| 1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
| 1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
| 1134633100 | Paul Myers, Ph.d., LLC | Clinic/Center | 5441 Sw Macadam Ave Ste 104, Portland, OR 97239-3821 | 2017-11-28 |
| 1891206785 | Janz Consulting | Clinic/Center | 1020 Sw Taylor St Ste 635, Portland, OR 97205-2524 | 2017-10-18 |
| 1467979914 | Awakened Heart Pdx, LLC | Clinic/Center | 322 Nw 5th Ave Ste 308, Portland, OR 97209-3851 | 2017-08-25 |
| 1669739389 | Casco Bay Medical Pllc | Clinic/Center | 371 Fore St, 201, Portland, ME 04101-5112 | 2012-04-19 |
| 1306132220 | Patricia Camplair, Phd PC | Clinic/Center | 1020 Sw Taylor St Ste 720, Portland, OR 97205-2512 | 2011-06-20 |
| 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.