FRIENDSHIP HEALTH CENTER (NPI# 1558427955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558427955 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP HEALTH CENTER |
| Practice Address |
3320 Se Holgate Blvd Portland OR 97202-3459 |
| Practice Telephone | 5032311411 |
| Practice Fax Number | 5032391170 |
| Mailing Telephone | 5032311411 |
| Mailing Fax Number | 5032391170 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS LINDA S KRUEGER (FISCAL OFFICER) |
| Authorized Official Telephone | 5032311411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 803189 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FRIENDSHIP HEALTH CENTER | 3320 Se Holgate Center, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | FRIENDSHIP HEALTH CENTER, INC. | 3320 Se Holgate, Portland, OR 97202 |
| Street Address |
3320 SE HOLGATE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627997 | Ben Carlstrom | Speech-Language Pathologist | 3320 Se Holgate Blvd, Portland, OR 97202 | 2019-09-09 |
| 1821578493 | Victoria Loudermilk | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-08-14 |
| 1417452210 | Tasha Louise Danner | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-03-26 |
| 1215389135 | Clayton Ross Rickett | Occupational Therapist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2016-07-02 |
| 1346699113 | Heather Boisjolie | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2016-06-12 |
| 1114304235 | Marisa Steinkamp | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2015-04-27 |
| 1871917310 | Tracy Flynn | Technician | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-02-04 |
| 1760805451 | Mackenzie Schack | Specialist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-01-30 |
| 1306269113 | Elissa Andresen | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-01-29 |
| 1649502832 | Stephanie Jane Grosul | Occupational Therapist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376625137 | Providence Health & Services-oregon | Skilled Nursing Facility | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639826 | Octavia M Nightingale | Skilled Nursing Facility | 4190 Collins Way, Lake Oswego, OR 97035-3448 | 2020-11-02 |
| 1104823236 | Garber Enterprises, Inc. | Skilled Nursing Facility | 1166 E 28th Ave, Eugene, OR 97403-1615 | 2005-07-05 |
| 1649348236 | Pinnacle Healthcare, Inc. | Skilled Nursing Facility | 1077 Gateway Loop, Springfield, OR 97477-1114 | 2006-12-01 |
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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.