PATRICK P HORNBERGER (NPI# 1417479304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479304 |
| Entity Type | Individual |
| Full Name | PATRICK P HORNBERGER |
| Credential | CDAC 1 INTERN |
| Practice Address |
215 N G St Lakeview OR 97630-1417 |
| Practice Telephone | 5419476021 |
| Practice Fax Number | 5419476020 |
| Mailing Telephone | 5419476021 |
| Mailing Fax Number | 5419476020 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
215 N G ST |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497116974 | Jennifer Pore | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2016-03-11 |
| 1659844942 | Jacqueline Danielle Schuler | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2019-01-09 |
| 1760957880 | Lori M. Hillard | Social Worker | 215 N G St, Lakeview, OR 97630-1417 | 2018-10-04 |
| 1073093167 | Jackie D Mcdougle | Case Manager/Care Coordinator | 215 N G St, Lakeview, OR 97630-1417 | 2018-08-17 |
| 1659878130 | Stuart Bryan Stewart | Peer Specialist | 215 N G St, Lakeview, OR 97630-1417 | 2018-04-10 |
| 1396248613 | Christine Newton | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2018-03-13 |
| 1346754462 | Lake District Health | Case Management | 215 N G St, Lakeview, OR 97630-1417 | 2017-11-28 |
| 1053841437 | Alina M Sharp | Case Manager/Care Coordinator | 215 N G St, Lakeview, OR 97630-1417 | 2017-06-18 |
| 1700338266 | Jane Lincoln | Social Worker | 215 N G St, Lakeview, OR 97630-1417 | 2016-11-01 |
| 1437607025 | Kylie Thomas | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2016-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1346419959 | Tina Ann Corey | Counselor | 706 S I St, Lakeview, OR 97630-1622 | 2008-02-27 |
| 1912102203 | Jacqueline Annette Peltier | Counselor | 250 S F St, Lakeview, OR 97630-1743 | 2007-06-18 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| 1609991702 | Kiyoka Watkins | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| 1689716607 | Robeson Health Care Corporation | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-1901 | 2007-02-13 |
| 1013937135 | Mary Margaret Thompson-leary | Counselor | 285 Camp Easter Rd., Lakeview, NC 28350 | 2006-07-20 |
| 1659844942 | Jacqueline Danielle Schuler | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2019-01-09 |
| 1548385636 | Lynda Alexander | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| 1487779484 | Debra Kester | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| Find all providers in LAKEVIEW | ||||
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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.