MARY MCDONALD (NPI# 1497385835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497385835 |
| Entity Type | Individual |
| Full Name | MARY MCDONALD |
| Credential | CADCII |
| Practice Address |
16420 Se Division St Portland OR 97236-1987 |
| Mailing Address |
2500 Maitland Center Pkwy Ste 250 Maitland FL 32751-4174 |
| Practice Telephone | 5037623130 |
| Practice Fax Number | 5037623199 |
| Mailing Telephone | 4073517080 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
89-01-08 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658834 | Mary Claire Mcdonald | Marriage & Family Therapist | 4591 Club View Dr, Westlake Village, CA 91362-4347 | 2020-04-23 |
| 1689166399 | Mary Corinne Mcdonald | Technician | 1165 Neal St Ne, Washington, DC 20002-3821 | 2018-05-30 |
| 1497157440 | Mary Helen Mcdonald | Registered Nurse | 75 Columbus Ave, West Harrison, NY 10604-3910 | 2014-09-22 |
| 1215204367 | Mary Lorraine Mcdonald | Doula | 2 Flagstone, #758, Irvine, CA 92606-7667 | 2011-11-17 |
| 1710207170 | Mary Ellen Mcdonald | Behavioral Analyst | 8 Suncrest Dr, Dix Hills, NY 11746-5733 | 2010-06-08 |
| 1598967820 | Mary F. Mcdonald | Licensed Practical Nurse | 40 Memorial Dr, New Castle, DE 19720-1334 | 2007-05-31 |
| 1700092707 | Mary Eileen Mcdonald | Licensed Practical Nurse | 1005 Cumberland View Cir, Knoxville, TN 37912-2910 | 2007-05-15 |
| 1306968565 | Mary Ann Mcdonald | Nurse Practitioner | 410 Sivley Rd Sw, Huntsville, AL 35810 | 2007-04-06 |
| 1801930219 | Mary Ellen Mcdonald | Social Worker | 8101 E Prentice Ave Ste M200, Greenwood Village, CO 80111-2930 | 2007-02-18 |
| 1023120722 | Mary Elizabeth Mcdonald | Counselor | 5016 Noel Polty Blvd., Bethel, AK 99559-1029 | 2006-08-31 |
| Street Address |
16420 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508073651 | Metro Treatment of Oregon Lp | Community/Behavioral Health | 16420 Se Division St, Portland, OR 97236-1987 | 2007-05-17 |
| 1588292726 | Naomi Loucks | Licensed Practical Nurse | 16420 Se Division St, Portland, OR 97236-1987 | 2020-04-01 |
| 1144851445 | Lorrie E Mosbergen | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-27 |
| 1558991992 | Alicia Palmer | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1528698941 | Robert Johnson | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1922638337 | Adam Troy Caba | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1124658463 | Stephanie Marie Hanna | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1104456524 | Wendy Eddy | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1801426234 | Stephannie Kaye Sloane | Counselor | 16420 Se Division St, Portland, OR 97236-1987 | 2020-01-24 |
| 1003283078 | Angela Cave | Clinic/Center | 16420 Se Division St, Portland, OR 97236-1987 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.