CHARLES FREEMEN EDWARDS (NPI# 1336690189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336690189 |
| Entity Type | Individual |
| Full Name | CHARLES FREEMEN EDWARDS |
| Practice Address |
537 Se Alder St Portland OR 97214-2231 |
| Mailing Address |
3910 Se Stark St Portland OR 97214-3241 |
| Practice Telephone | 5035953477 |
| Practice Fax Number | 5035953478 |
| Mailing Telephone | 5032358655 |
| Mailing Fax Number | 5038020598 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 16-CRM-179 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1821371170 | Charles Harvey Edwards | Pharmacist | 9201 Old Henry Rd, Louisville, KY 40245-6003 | 2011-09-23 |
| 1538466206 | Charles Louis Edwards | Internal Medicine | 1137 Took Pl, Florence, SC 29505-6482 | 2011-02-16 |
| 1063505972 | Charles Lindsay Edwards | Psychiatry & Neurology | 17860 Wards Ferry Rd, Sonora, CA 95370-8655 | 2006-10-02 |
| 1477656064 | Charles M Edwards Jr. | Dentist | 774 N Edgewood Ave, Jacksonville, FL 32254 | 2006-09-07 |
| 1447291067 | Charles Christopher Edwards | Internal Medicine | 4315 Diplomacy Drive, Anchorage, AK 99508-5926 | 2006-06-08 |
| 1013966019 | Charles L Edwards | Dentist | 5509 Young St, Bakersfield, CA 93311-9648 | 2006-05-08 |
| 1386621316 | Charles Archer Edwards | Chiropractor | 749 E Main St, Barnesville, OH 43713-1456 | 2005-12-30 |
| 1639574288 | Charles Warren Edwards | Physical Therapist | 73 Old Dublin Pike, Suite 6, Doylestown, PA 18901-2491 | 2014-10-24 |
| 1427490473 | Charles C. Edwards | Obstetrics & Gynecology | 19105 Hillside Ave, Hollis, NY 11423-1941 | 2013-07-18 |
| Street Address |
537 SE ALDER ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316091952 | Julia Aretha Phillips | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2007-01-22 |
| 1689046369 | Jason Trujillo | Peer Specialist | 537 Se Alder St, Portland, OR 97214-2231 | 2015-10-21 |
| 1073981569 | David Rugh | Peer Specialist | 537 Se Alder St, Portland, OR 97214-2231 | 2015-09-14 |
| 1073981866 | Tammy Truijens | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2015-09-10 |
| 1396113130 | Susan Schreiber | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2015-09-10 |
| 1902274871 | Troy Ford | Peer Specialist | 537 Se Alder St, Portland, OR 97214-2231 | 2015-09-09 |
| 1912309691 | Alex Deshler | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2014-09-24 |
| 1346642378 | Mark Held | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2014-09-22 |
| 1235531476 | Brandon Jett | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2014-09-18 |
| 1033511407 | Kelsey Smith Payne | Counselor | 537 Se Alder St, Portland, OR 97214-2231 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1245896307 | Anthony James Hardy | Peer Specialist | 10336 Ne Wygant St, Portland, OR 97220-3368 | 2019-05-14 |
| 1881155596 | Laray Jermaine Thomas | Peer Specialist | 11509 Se Stephens St, Portland, OR 97216-3660 | 2019-03-26 |
| 1932684248 | Dorothy Joanna Burton | Peer Specialist | 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 | 2018-10-02 |
| 1750886255 | Steven Wade | Peer Specialist | 4512 Ne Portland Hwy, Portland, OR 97218-1363 | 2018-03-27 |
| 1669991212 | Kimberly Jaye Randall | Peer Specialist | 17214 Se Division St Ste 2, Portland, OR 97236-1282 | 2017-09-14 |
| 1689103897 | Walter Bulter | Peer Specialist | 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 | 2017-06-09 |
| 1306373543 | Brenda Kay Mitchell | Peer Specialist | 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 | 2017-05-18 |
| 1760914493 | Changing Perceptions | Peer Specialist | 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 | 2017-03-31 |
| 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.