THERESA BUNKER (NPI# 1316017585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316017585 |
Entity Type | Individual |
Full Name | THERESA BUNKER |
Credential | FNP |
Practice Address |
1410 Ne 106th Ave Portland OR 97220-3934 |
Practice Telephone | 5034600405 |
Practice Fax Number | 5034600434 |
Mailing Telephone | 5034600405 |
Mailing Fax Number | 5034600434 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2010-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
096006685N1 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 210222 | 05 |
Street Address |
1410 NE 106TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97220-3934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558975151 | Amber Rae Oyama | Clinic/Center | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2020-09-02 |
1912540980 | Kyle Edward Anderson | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-10-23 |
1598316572 | Trevor Scott Rachko | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-09-22 |
1801449301 | Eva Cicilian | Registered Nurse | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2019-07-23 |
1891128005 | Neisha Caldwell | Counselor | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2013-08-12 |
1659622454 | Elizabeth Jane Sadock | Psychologist | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2012-09-20 |
1366751638 | Brittany Lyn Kolluru | Naturopath | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2010-10-04 |
1659604825 | Marti L Baird | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2009-09-04 |
1164576617 | Gwyneth Theresa Jones | Nurse Practitioner | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2007-01-22 |
1548330715 | Bridge City Family Medical Clinic, PC | Clinic/Center | 1410 Ne 106th Ave, Portland, OR 97220-3934 | 2006-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
Find all providers in zip 97220 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
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.