MS. CARMELETA DIANNE HATCHER (NPI# 1346443504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346443504 |
Entity Type | Individual |
Full Name | MS. CARMELETA DIANNE HATCHER |
Credential | LCSW, CADC-III |
Practice Address |
5125 Sw Macadam Ave 145 Portland OR 97239-3820 |
Mailing Address |
3221 Se Westview Milwaukie OR 97264 |
Practice Telephone | 5032317854 |
Mailing Telephone | 5032602955 |
Enumeration Date | 2007-06-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
060773 | OR | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
L3444 | OR | Behavioral Health & Social Service Providers |
Street Address |
5125 SW MACADAM AVE 145 |
City | PORTLAND |
State | OR |
Zip Code | 97239-3820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225099179 | Lawrence M. Smith | Counselor | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2006-03-30 |
1538615364 | Thomas Grace | Chiropractor | 5125 Sw Macadam Ave, #210, Portland, OR 97239-3820 | 2016-08-31 |
1982031035 | Teresa Gryder | Naturopath | 5125 Sw Macadam Ave, Suite 210, Portland, OR 97239-3820 | 2013-10-03 |
1609026582 | Advanced Massage Concepts, LLC | Clinic/Center | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2008-09-26 |
1508999756 | Erin Lommen | Naturopath | 5125 Sw Macadam Ave, Portland, OR 97239-3820 | 2007-03-14 |
1326171869 | Carol Ann Carnese | Massage Therapist | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2007-03-13 |
1154462737 | Oregon Scottish Rite Clinics | Speech-Language Pathologist | 5125 Sw Macadam Ave, 200, Portland, OR 97239-3809 | 2007-02-08 |
1710023247 | Oregon Scottish Rite Clinics | Voluntary or Charitable | 5125 Sw Macadam Ave, Suite 200, Portland, OR 97239-3809 | 2007-01-30 |
1538172598 | Dara Michelle Charlton | Social Worker | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2006-08-14 |
1629030713 | Alice Penniman Rose | Social Worker | 5125 Sw Macadam Ave, Ste 145, Portland, OR 97239 | 2006-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
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.