SUSAN KHALSA-WYBORSKI (NPI# 1336392984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336392984 |
| Entity Type | Individual |
| Full Name | SUSAN KHALSA-WYBORSKI |
| Practice Address |
104 4th Ave Sw Rm 238 Albany OR 97321-2804 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5419673819 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19-06-174 | OR | Behavioral Health & Social Service Providers |
| Street Address |
104 4TH AVE SW RM 238 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912150533 | Kevin Ort | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-28 |
| 1831530047 | Linn County Alcohol and Drug | Community/Behavioral Health | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2013-07-16 |
| 1053638684 | Darrell Johnson | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2010-04-21 |
| 1669610861 | Scott Marchese | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2009-01-26 |
| 1235382474 | Anthony Howell | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-31 |
| 1053564369 | Sandra Kopf | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-30 |
| 1780837336 | Marcy Nichols | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-28 |
| 1760635312 | Louis Monroe | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-28 |
| 1255584801 | Rosalie Reader | Counselor | 104 4th Ave Sw Rm 238, Albany, OR 97321-2804 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408796 | Jessica Michael Lindquist | Counselor | 1185 Cranberry St, Albany, MN 56307-4518 | 2020-05-12 |
| 1972069581 | Shirley Roberts | Counselor | 406 Branch Rd, Albany, GA 31705-5301 | 2019-02-19 |
| 1356844856 | Shawna L Green | Counselor | 18 State Route 143, Albany, OH 45710-1100 | 2018-03-12 |
| 1750893202 | Mark G Leach | Counselor | 4 Pine West Plz Ste 403, Albany, NY 12205-5515 | 2017-10-24 |
| 1518324011 | Maria Lynn Ulery-lafriniere | Counselor | 1050 Price Rd Se, Albany, OR 97322-7314 | 2016-01-28 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1356741730 | Courtney Ann Nakashima | Counselor | 1856 Grand Prairie Rd Se, Albany, OR 97322-5521 | 2014-09-04 |
| 1639593403 | Terry Lumpkin | Counselor | 244 Colonie St, Albany, NY 12210-2502 | 2014-02-13 |
| 1215367016 | Brandon Dawkins | Counselor | 810 Ransom Acres Ln, Albany, GA 31705-1635 | 2013-11-15 |
| 1730431412 | Cheryl Schimmel | Counselor | 902 Washington Avenue, Albany, NY 12203 | 2012-10-05 |
| Find all providers in ALBANY | ||||
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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.