PATRICIA GARDNER (NPI# 1326114760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326114760 |
| Entity Type | Individual |
| Full Name | PATRICIA GARDNER |
| Credential | MD |
| Practice Address |
3034 Ne Mlk Jr Blvd Portland OR 97212-3053 |
| Practice Telephone | 5039365542 |
| Practice Fax Number | 5037350912 |
| Mailing Telephone | 5039365542 |
| Mailing Fax Number | 5037350912 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD17033 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00040428 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8189995 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Nw Highway 101 Ste A, Lincoln City, OR 973673241 | 5419967480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702494 | Patricia Gardner | Home Health | 179 Godfrey Rd, Edgewater, FL 32141-7219 | 2015-10-14 |
| 1366870529 | Patricia Gardner | Social Worker | 7135 W Rose Ln, Glendale, AZ 85303-4330 | 2013-10-28 |
| 1699096602 | Patricia Gardner | Counselor | 1025 Biloxi Ave, Kernersville, NC 27284-9556 | 2010-06-14 |
| 1144387606 | Patricia Ann Gardner | Speech-Language Pathologist | 100 Enterprise Pl Ste 1, Dover, DE 19904 | 2007-01-03 |
| 1992033161 | Patricia Gardner | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2009-11-30 |
| 1639327166 | Patricia Anne Gardner | Dentist | 75 Frontage Rd, Asbury, NJ 08802-1367 | 2008-09-09 |
| 1588879662 | Patricia Fike Gardner | Nurse Practitioner | 4444 S 86th St, Lincoln, NE 68526-9253 | 2007-05-11 |
| 1184848905 | Patricia Gardner | Nurse Practitioner | 390 W End Ave, New York, NY 10024-6107 | 2007-04-12 |
| 1831238658 | Patricia Gardner | Case Manager/Care Coordinator | 408 Virginia, Paris, TN 38242 | 2007-02-06 |
| 1871643791 | Patricia Gardner | Emergency Medicine | 301 W Homer St, Michigan City, IN 46360-4358 | 2007-01-11 |
| Street Address |
3034 NE MLK JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285902601 | Terry Sulgrove | Counselor | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2011-12-13 |
| 1881983153 | Keiko Eguchi | Counselor | 3034 Ne Mlk Jr Blvd, Portland, OR 97212 | 2011-04-07 |
| 1316242530 | Cody Wright Gabel | Counselor | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2011-01-19 |
| 1497990626 | Athena Marie Dickau | Counselor | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2008-12-02 |
| 1972777670 | Yadira Ricoy | Case Manager/Care Coordinator | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2008-04-15 |
| 1568644219 | Melonee A Paden-melson | Adult Companion | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2007-12-04 |
| 1285814814 | Tia Cherie Jones | Adult Companion | 3034 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878947 | Celia Mantovani | Psychiatry & Neurology | 15 Cypress St, Portland, ME 04103-2008 | 2020-07-10 |
| 1538782834 | Endeavor Psychiatry LLC | Psychiatry & Neurology | Sw, Portland, OR 97219-5885 | 2020-05-20 |
| 1154942142 | Prisma Wellness LLC | Psychiatry & Neurology | 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 | 2020-04-30 |
| 1588291082 | Alexis Family Psychiatry, LLC | Psychiatry & Neurology | 415 Congress St Ste 202a, Portland, ME 04101-3500 | 2020-03-24 |
| 1881188084 | Geriatric Psychiatry Associates | Psychiatry & Neurology | 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 | 2018-06-20 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1154839108 | Cascade Tms LLC | Psychiatry & Neurology | 205 Se Spokane St Ste 301, Portland, OR 97202-6487 | 2018-01-11 |
| 1538601737 | Diana S Domnitei Md LLC | Psychiatry & Neurology | 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 | 2016-11-06 |
| 1104286269 | Anne Fleming, Md, LLC | Psychiatry & Neurology | 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 | 2016-03-02 |
| 1417338708 | Andrew Justin Ruege | Psychiatry & Neurology | 5421 Sw Patton Rd, Portland, OR 97221-2226 | 2015-06-12 |
| 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.