GEORGIA LONG (NPI# 1356954069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356954069 |
| Entity Type | Individual |
| Full Name | GEORGIA LONG |
| Practice Address |
5023 Ne Killingsworth St Portland OR 97218-1915 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032844249 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
5023 NE KILLINGSWORTH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841360161 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2006-11-08 |
| 1134733827 | Virginia Vera Johnson | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-09-01 |
| 1922611664 | Julian Savery Szieff | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-08-24 |
| 1083222566 | Courtney Arline Florio | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-07-21 |
| 1942818430 | Semiah Dominique Crawford | Technician | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-07-21 |
| 1962027912 | Thomas W Rounds | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-06-15 |
| 1104440445 | Anthony P Brasher | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-06-02 |
| 1427670405 | Jamie H Matthews | Adult Companion | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-05-12 |
| 1730700154 | Sabrina L Martin-hewitt | Adult Companion | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-04-27 |
| 1801420179 | Katelyn S Yung | Case Manager/Care Coordinator | 5023 Ne Killingsworth St, Portland, OR 97218-1915 | 2020-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1235367228 | New England Family Healthcare | Technician | 125 Presumpscot St., #9, Portland, ME 04103 | 2009-06-29 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| 1083212781 | Haili Michelle Jones | Technician | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2020-10-14 |
| 1316545056 | Cash A Crouse | Technician | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2020-10-14 |
| 1275131922 | Elizabeth Rose Anderson | Technician | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-10-14 |
| 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.