MRS. KERRY E M PHIFER (NPI# 1447336037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447336037 |
| Entity Type | Individual |
| Full Name | MRS. KERRY E M PHIFER |
| Other Name | KERRY MCGUIRL |
| Credential | PMHNP |
| Practice Address |
1700 Nw Civic Dr Suite 301 Gresham OR 97030-3770 |
| Mailing Address |
6400 Se Lake Rd Ste 325 Milwaukie OR 97222-2185 |
| Practice Telephone | 5036668832 |
| Practice Fax Number | 5036698641 |
| Mailing Telephone | 5037861711 |
| Mailing Fax Number | 5037869919 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200650118NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164936 | 05 |
| Street Address |
1700 NW CIVIC DR SUITE 301 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407251408 | Nicklaus Clark | Counselor | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2014-11-03 |
| 1346645777 | Patricia Bootzin | Counselor | 1700 Nw Civic Dr, Sutie 310, Gresham, OR 97030-3770 | 2014-10-28 |
| 1255741773 | Sarah Dangaran | Behavioral Analyst | 1700 Nw Civic Dr, 310, Gresham, OR 97030-3770 | 2014-05-06 |
| 1063761716 | Clark Paul Rector | Psychologist | 1700 Nw Civic Dr, Gresham, OR 97030-3770 | 2012-09-09 |
| 1235493743 | Kathleen Suzanne Leavitt | Marriage & Family Therapist | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2012-06-28 |
| 1144453051 | Valerie Ann Reynolds | Counselor | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2009-08-26 |
| 1447485594 | Kristen Peterca | Counselor | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2009-05-19 |
| 1134370265 | Ronn Jeffry Nelson II | Psychologist | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2008-10-07 |
| 1083814677 | Timothy Gazdziak | Counselor | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2007-07-20 |
| 1629285036 | Christopher James Hill | Marriage & Family Therapist | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2007-05-16 |
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|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
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| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079588 | Patrick Lohse | Nurse Practitioner | 955 Ne 3rd St, Gresham, OR 97030-7418 | 2019-08-20 |
| 1568661528 | Stacy L. Hartline | Nurse Practitioner | 912 Ne Kelly Ave, Suite 200, Gresham, OR 97030 | 2007-07-11 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1215587126 | Healingspaces4u | Nurse Practitioner | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2019-09-13 |
| 1487191797 | Lifespan Psychiatric Consulting, LLC | Nurse Practitioner | 320 N Main Ave, Suite 209, Gresham, OR 97030-7242 | 2017-01-24 |
| 1366812372 | Tyler Clark Chipman | Nurse Practitioner | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2015-10-02 |
| 1396947065 | Susan Ruth Sagawa | Nurse Practitioner | 2150 Ne Division St, Ste 103, Gresham, OR 97030-5813 | 2007-06-04 |
| 1790806149 | Daniel Ken Kamada | Nurse Practitioner | 333 Se 223rd Ave, Ste 204, Gresham, OR 97030-7454 | 2007-04-03 |
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| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
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| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
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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.