TABITHA BASS (NPI# 1326422429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326422429 |
| Entity Type | Individual |
| Full Name | TABITHA BASS |
| Other Name | TABITHA RUTH LAVERY |
| Practice Address |
17727 E Burnside St Portland OR 97233-4803 |
| Mailing Address |
4531 Se Belmont St Suite 100 Portland OR 97215-1675 |
| Practice Telephone | 5032159800 |
| Practice Fax Number | 5032159810 |
| Mailing Telephone | 5032156556 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
17727 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942258827 | Vicki Lee | Nurse Practitioner | 17727 E Burnside St, Portland, OR 97233-4803 | 2006-05-04 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1821632480 | Mary Patricia Cohen | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-11-06 |
| 1346896636 | James Arthur Mcavoy IIi | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-08-13 |
| 1811559602 | Rachael C Harris | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-07-02 |
| 1083173314 | Claudia None Fong | Licensed Practical Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-03-16 |
| 1346710027 | Karen Schmidt Smack | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-11-26 |
| 1770079170 | Kelly Skellenger | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-07-09 |
| 1861902256 | Cecilia Koukoumanos | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-10-11 |
| 1902322878 | Zarina Verbetskiy | Physical Therapy Assistant | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| 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.