JACK DUANE RICH (NPI# 1477067940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477067940 |
| Entity Type | Individual |
| Full Name | JACK DUANE RICH |
| Practice Address |
58147 Columbia River Hwy Ste C Saint Helens OR 97051-6229 |
| Practice Telephone | 5033965322 |
| Practice Fax Number | 5034105678 |
| Mailing Telephone | 5033965322 |
| Mailing Fax Number | 5034105678 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| 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) |
090944 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers |
| Street Address |
58147 COLUMBIA RIVER HWY STE C |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837880 | Sheena Mackay Nelson | Counselor | 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6226 | 2007-06-09 |
| 1619420098 | Cherokee Daniel | Counselor | 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6226 | 2016-08-02 |
| 1770944944 | Emily Matthews | Counselor | 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6226 | 2016-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837880 | Sheena Mackay Nelson | Counselor | 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051-6226 | 2007-06-09 |
| 1801913348 | Rebecca Ann Rourke | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2007-03-22 |
| 1649895376 | Columbia Community Mental Health | Counselor | 58581 Columbia River Hwy, Saint Helens, OR 97051-3225 | 2020-06-09 |
| 1497394977 | Jacqueline Elizabeth Potter | Counselor | 58147 Columbia River Hwy, Saint Helens, OR 97051-6229 | 2019-12-31 |
| 1265084685 | Sara J Young | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-07-15 |
| 1841851508 | Ryan Ross Ervin | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-06-24 |
| 1932768009 | Betty Lou James | Counselor | 58147 Columbia River Hwy, Saint Helens, OR 97051-6229 | 2019-06-11 |
| 1871056317 | Saren Louise Pihlaja | Counselor | 271 Columbia Blvd, Saint Helens, OR 97051-2021 | 2019-04-11 |
| 1255899290 | Tristin Marie Capelle | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-03-08 |
| 1568929495 | Laura Reid Birchard | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-02-27 |
| Find all providers in SAINT HELENS | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
Please comment or provide details below to improve the information on JACK DUANE RICH.
| 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.