THERESA BUNKER


Address: 1410 Ne 106th Ave, Portland, OR 97220-3934
Phone: 5034600405

THERESA BUNKER (NPI# 1316017585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
096006685N1 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 210222 05

Office Location

Street Address 1410 NE 106TH AVE
City PORTLAND
State OR
Zip Code 97220-3934

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

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.

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