MRS. ANGELINA LUCRETIA ANDERSON (NPI# 1487143129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487143129 |
| Entity Type | Individual |
| Full Name | MRS. ANGELINA LUCRETIA ANDERSON |
| Other Name | ANGELINA LUCRETIA AIELLO |
| Credential | CPCP |
| Practice Address |
191 Ne Grand Ave Portland OR 97232-2936 |
| Practice Telephone | 9713375401 |
| Mailing Telephone | 9713375401 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | BAP-TA-10190322 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
191 NE GRAND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856231 | Clifton A. J. Edwards | Specialist/Technologist, Other | 3347 Ne 164th Loop, Portland, OR 97230-5063 | 2015-11-21 |
| 1841808896 | Katirina Guanciale | Specialist/Technologist, Other | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-07-15 |
| 1851753081 | Kelly Loggan | Specialist/Technologist, Other | 2080 Se Oak Grove Blvd, Suite 7, Portland, OR 97267-2657 | 2016-03-26 |
| 1225459589 | Victoria Faith Turek | Specialist/Technologist, Other | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496732 | Grady Paul Bunce | Specialist/Technologist, Other | 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 | 2019-09-17 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1639525140 | Molly Ballew | Specialist/Technologist, Other | 295 E Main, Suite 10, Ashland, OR 97520-0020 | 2016-05-13 |
| 1114373735 | Ayako Shimba | Specialist/Technologist, Other | 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 | 2016-05-12 |
| 1285091009 | Bryon Willson | Specialist/Technologist, Other | 3350 Sw 198th Ave, Beaverton, OR 97003-2348 | 2016-01-25 |
| 1497183362 | Faith Tavares Pinkerton | Specialist/Technologist, Other | 61383 Hwy 97, Suite B, Bend, OR 97702-2597 | 2013-10-31 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1285861609 | Maruska Lynch | Specialist/Technologist, Other | 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 | 2009-06-11 |
| 1942454400 | Valerie Jane Hefner | Specialist/Technologist, Other | 1949 Ne Lotus Dr, Bend, OR 97701-6127 | 2008-11-11 |
| 1043461189 | Michael A Isleman | Specialist/Technologist, Other | 7137 Sw Sagert St, Tualatin, OR 97062-8297 | 2008-10-07 |
| Find all providers with the same taxonomy | ||||
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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.