LAEL STEPHANIE GORDON (NPI# 1376838417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376838417 |
Entity Type | Individual |
Full Name | LAEL STEPHANIE GORDON |
Credential | MSW |
Practice Address |
326 Se 76th Ave Portland OR 97215-1468 |
Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
Practice Telephone | 5032553198 |
Practice Fax Number | 5032550359 |
Mailing Telephone | 5032380769 |
Mailing Fax Number | 5039637711 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-06-16 |
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 |
326 SE 76TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97215-1468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
1124440920 | Heather Ford | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-13 |
1104248236 | Peggy Surfus | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-08 |
1508103342 | Marta Buechler | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2013-01-14 |
1700144144 | James Abel Justice | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2012-04-23 |
1023395282 | Tomas John Wildenborg | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-11-15 |
1780982454 | Laroy William Lackey | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-03-04 |
1497084461 | Nicholas Maier | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-12-21 |
1346489770 | Dayna Ann Stierley | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-02-09 |
1659579753 | Michael Paul Richard | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2007-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
Find all providers in zip 97215 |
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.