GEORGIA LONG


Address: 5023 Ne Killingsworth St, Portland, OR 97218-1915
Phone: 5032844249

GEORGIA LONG (NPI# 1356954069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 5023 NE KILLINGSWORTH ST
City PORTLAND
State OR
Zip Code 97218-1915

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City PORTLAND
Zip Code 97218

Improve Information

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Dataset Information

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.

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