SHANE AUSTIN SMITH


Address: 7405 Se 84th Ave, Portland, OR 97266-5840
Phone: 5037711645

SHANE AUSTIN SMITH (NPI# 1457757999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457757999
Entity Type Individual
Full Name SHANE AUSTIN SMITH
Practice Address 7405 Se 84th Ave
Portland
OR 97266-5840
Mailing Address 12248 Se Market St
Portland
OR 97233-1235
Practice Telephone 5037711645
Mailing Telephone 5039954778
Enumeration Date 2014-11-11
Last Update Date 2014-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers

Other Providers SHANE SMITH

NPI Name Taxonomy Address Enumeration
1801363288 Shane Smith Counselor 10401 Shaw St, Oakland, CA 94605-5116 2018-10-24
1609306158 Shane Eric Smith Chiropractor 1300 E 66th St Ste 100, Richfield, MN 55423-2685 2017-06-18
1396199733 Shane Todd Smith Registered Nurse 725 Rothrock Dr, Galloway, OH 43119-8692 2016-04-22
1679815484 Shane Timothy Smith Counselor 4629 Celia Way, Apt 202, Bellingham, WA 98226-7475 2013-03-19
1972726719 Shane Smith Chiropractor 1380 Long Fellow Ave, Chico, CA 95926 2007-04-10
1821177197 Shane Smith Chiropractor 2301 Berlin Tpke, Newington, CT 06111-3206 2006-11-06
1184705980 Shane Michael Smith Family Medicine 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 2006-10-18
1003465675 Shane R Smith Social Worker 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 2019-09-06
1255859567 Shane Mcbride Smith Physician Assistant 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 2017-09-07
1124578836 Shane Smith Chiropractor 12313 Gold St, Omaha, NE 68144-2760 2016-10-05

Office Location

Street Address 7405 SE 84TH AVE
City PORTLAND
State OR
Zip Code 97266-5840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447654504 Cascadia Behavioral Health Care Community Based Residential Treatment Facility, Mental Illness 7405 Se 84th Ave, Portland, OR 97266-5840 2014-10-20
1083212781 Haili Michelle Jones Technician 7405 Se 84th Ave, Portland, OR 97266-5840 2020-10-14
1689299711 Jessica Rose Elizabeth Jones Technician 7405 Se 84th Ave, Portland, OR 97266-5840 2020-06-15
1548882723 Austin C Sullivan Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2020-05-11
1346871415 Sarah Reilly Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2020-01-28
1326680828 David Ong Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2019-10-16
1275193286 Chloe Ella Fisher Counselor 7405 Se 84th Ave, Portland, OR 97266-5840 2019-06-20
1093111536 Eugene Alven Nelson Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2014-11-11
1538565080 Lee Bethany Bostwick Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2014-11-11
1265838718 Roslina Gidbmaa X Adult Companion 7405 Se 84th Ave, Portland, OR 97266-5840 2014-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavioral Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
Find all providers in zip 97266

Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184271462 Taylor Salter Adult Companion 7018 N Armour St, Portland, OR 97203-6132 2019-08-21
1235785429 Lonzall Tatum Adult Companion 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 2019-08-13
1205303021 Imani Anderson Adult Companion 434 Ne Roselawn St, Portland, OR 97211-3826 2018-10-30
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1104364900 Rosanna Hunnicutt Adult Companion 2601 Se 160th Ave, Portland, OR 97236-2092 2017-02-01
1043755028 Raolat Ajibade IIi Adult Companion 847 N.e 19thave, Portland, OR 97232 2016-12-29
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1255789731 Sherri Schroeder Adult Companion 847 Ne 19th Ave., Suite100, Portland, OR 97232 2016-05-25
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1609241371 Denise Broom Adult Companion 25 Ne Stafford St, Portland, OR 97211-2241 2015-12-07
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97266

Improve Information

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Dataset Information

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.

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