MS. DEBRA JEAN CULLEN (NPI# 1376659987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376659987 |
| Entity Type | Individual |
| Full Name | MS. DEBRA JEAN CULLEN |
| Credential | QMHP |
| Practice Address |
509 Ne Alberta St Portland OR 97211-3976 |
| Mailing Address |
1533 Se 54th Ave Portland OR 97215-3327 |
| Practice Telephone | 5032497769 |
| Practice Fax Number | 5033317595 |
| Mailing Telephone | 5032361398 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
509 NE ALBERTA ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-3976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921736 | Lillian E Moffitt | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2020-04-21 |
| 1841690005 | Jacki Penny | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-08-25 |
| 1043635329 | Michael Phelps | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
| 1598180879 | Robert Nicholas | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-02-24 |
| 1689096489 | Allissa Andersen | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2014-01-13 |
| 1730523648 | Leandro Alberto Lopez | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2013-04-22 |
| 1720323694 | La Treca Phillips | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-12-04 |
| 1013268549 | David Bowman Volker | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-09-24 |
| 1124377841 | Carol L Nieman | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-09-10 |
| 1104181866 | Lance Thomas | Adult Companion | 509 Ne Alberta St, Portland, OR 97211-3976 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| 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.