SALLY WENTZ (NPI# 1518257922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518257922 |
Entity Type | Individual |
Full Name | SALLY WENTZ |
Credential | LPC |
Practice Address |
400 E Main St Ste 110 Hillsboro OR 97123-4163 |
Practice Telephone | 5036409892 |
Practice Fax Number | 5036489732 |
Mailing Telephone | 5036409892 |
Mailing Fax Number | 5036489732 |
Enumeration Date | 2011-04-19 |
Last Update Date | 2011-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C1656 | OR | Behavioral Health & Social Service Providers |
Street Address |
400 E MAIN ST STE 110 |
City | HILLSBORO |
State | OR |
Zip Code | 97123-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558459669 | Daniel Lionel Baker | Counselor | 400 E Main St Ste 110, Hillsboro, OR 97123-4163 | 2006-10-11 |
1700178563 | Diane L Strycker | Counselor | 400 E Main St Ste 110, Hillsboro, OR 97123-4163 | 2011-05-11 |
1447304985 | Jennifer Lynn Brissenden | Counselor | 400 E Main St Ste 110, Hillsboro, OR 97123-4163 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
Find all providers in zip 97123 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730700725 | Cornerstone, LLC | Counselor | 2800 Us Highway 62, Hillsboro, OH 45133-1606 | 2020-04-30 |
1790320224 | Gema Hernandez | Counselor | 21185 Nw Evergreen Pkwy Ste 105, Hillsboro, OR 97124-7127 | 2019-11-07 |
1538634902 | Elizabeth Dyan Ficker | Counselor | 3000 Ne Stucki Ave Ste 230, Hillsboro, OR 97124-7328 | 2018-10-11 |
1669969648 | Denija Delic | Counselor | 126 E Elm St, Hillsboro, TX 76645-3321 | 2018-04-16 |
1760998785 | Karianne Lowe | Counselor | 1547 Se 74th Ave, Hillsboro, OR 97123-6190 | 2017-12-28 |
1679010300 | Julie Larkin | Counselor | 233 E Main St Ste 214, Hillsboro, OR 97123-4066 | 2017-01-19 |
1144655705 | Tony Via | Counselor | 211 E Elm St, Hillsboro, TX 76645-3322 | 2013-09-13 |
1275871337 | Karen Ann Debolt | Counselor | 5234 Ne Farmcrest St, Hillsboro, OR 97124-6065 | 2013-01-24 |
1134495807 | Molly Oberweiser | Counselor | 155 N. First Ave., Ms #70, Hillsboro, OR 97124-3072 | 2012-03-28 |
1952685133 | Paulie Tietz | Counselor | 6701 Ne Campus Dr, Hillsboro, OR 97124-5500 | 2011-10-05 |
Find all providers in HILLSBORO |
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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.