DR. TINA MARIE ANCTIL (NPI# 1427465376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427465376 |
| Entity Type | Individual |
| Full Name | DR. TINA MARIE ANCTIL |
| Credential | PH.D., LPC |
| Practice Address |
833 Sw 11th Ave Suite 509 Portland OR 97205-2125 |
| Practice Telephone | 5033439838 |
| Practice Fax Number | 5039269109 |
| Mailing Telephone | 5033439838 |
| Mailing Fax Number | 5039269109 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2429 | OR | Behavioral Health & Social Service Providers |
| Street Address |
833 SW 11TH AVE SUITE 509 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154465 | John Arthur Mccomb | Dentist | 833 Sw 11th Ave, Ste 500, Portland, OR 97205-2119 | 2005-06-16 |
| 1205207107 | Christine Kadykalo | Naturopath | 833 Sw 11th Ave, Suite 525, Portland, OR 97205-2125 | 2015-10-18 |
| 1972972339 | Sheryl K. Weissman, Dds | Dentist | 833 Sw 11th Ave, Suite 514, Portland, OR 97205-2125 | 2015-09-16 |
| 1336526342 | Sara Cagle | Social Worker | 833 Sw 11th Ave, Suite 320, Portland, OR 97205-2125 | 2015-04-28 |
| 1427452085 | John G. Colasurdo D.m.d | Dentist | 833 Sw 11th Ave, Suite 723, Portland, OR 97205 | 2014-10-10 |
| 1013317676 | Vincent Colasurdo | Dentist | 833 Sw 11th Ave, Suite 723, Portland, OR 97205-2125 | 2014-09-01 |
| 1942614904 | Mccrae Management & Investment, Ltd. | Hearing Aid Equipment | 833 Sw 11th Ave, Suite 619, Portland, OR 97205-2125 | 2014-06-18 |
| 1972917458 | Burstein-rose PC | Social Worker | 833 Sw 11th Ave, Suite 214, Portland, OR 97205-2116 | 2014-06-12 |
| 1275947723 | Little Wing Acupuncture | Acupuncturist | 833 Sw 11th Ave, Suite #1018, Portland, OR 97205-2125 | 2014-06-12 |
| 1437576287 | Renae Rogers | Acupuncturist | 833 Sw 11th Ave, Suite 525, Portland, OR 97205-2125 | 2014-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| 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.