JOHN WILLIAM THOMPSON (NPI# 1558732966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558732966 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM THOMPSON |
| Practice Address |
5538 Ne 24th Ave Portland OR 97211-6206 |
| Practice Telephone | 5037570827 |
| Mailing Telephone | 5037570827 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 320800000X | OR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1386251296 | John R Thompson | Private Vehicle | 3926 Troon Dr, Uniontown, OH 44685-8894 | 2020-09-24 |
| 1902435662 | John P Thompson | Student in an Organized Health Care Education/Training Program | 6906 Forest Grv, San Antonio, TX 78240-3320 | 2020-04-05 |
| 1942614532 | John Albert Thompson | Counselor | 231 W 29th St Rm 301, New York, NY 10001-5551 | 2014-06-11 |
| 1477892826 | John S Thompson | Registered Nurse | 1753 Jamaica St, Aurora, CO 80010-2414 | 2013-02-05 |
| 1003176108 | John K Thompson | Specialist/Technologist | 1105 Adelaida Rd, Paso Robles, CA 93446-9775 | 2012-05-22 |
| 1518241249 | John Robert Thompson | Social Worker | 102 S. Mcpherson St, Lansing, MI 48915-1760 | 2011-09-29 |
| 1326366584 | John A. Thompson | Pharmacist | 1409 Highway 35 N, Rockport, TX 78382-3314 | 2010-05-12 |
| 1821220781 | John Richardson Thompson | Pharmacist | 1 University Park Dr # 225d, Lipscomb University College of Pharmacy, Nashville, TN 37204-3956 | 2009-08-11 |
| 1316195753 | John Aaron Thompson | Physical Medicine & Rehabilitation | 6316 S Rainbow Blvd, Suite 100, Las Vegas, NV 89118-3232 | 2008-08-27 |
| Street Address |
5538 NE 24TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679941785 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 130 Se 119th Ave, Portland, OR 97216-3704 | 2015-09-04 |
| 1346637816 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17710 Halsey Crc, Portland, OR 97230 | 2015-04-22 |
| 1700273638 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 17700 Ne Halsey St, Portland, OR 97230-6734 | 2015-04-17 |
| 1447654504 | Cascadia Behavioral Health Care | Community Based Residential Treatment Facility, Mental Illness | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2014-10-20 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1821491853 | Florence Mutie | Community Based Residential Treatment Facility, Mental Illness | 5123 Sw 62nd Ave, Portland, OR 97221-1170 | 2014-10-05 |
| 1679983381 | Janus Youth Program | Community Based Residential Treatment Facility, Mental Illness | 142 Se 160th Ave Apt 24, Portland, OR 97233-3558 | 2014-05-02 |
| 1558606384 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 12810 Sw 62nd Ave, Portland, OR 97219-8034 | 2012-12-05 |
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| 1841435518 | Cameron Care Powell | Community Based Residential Treatment Facility, Mental Illness | 14309 Se Powell Blvd, Portland, OR 97236 | 2008-12-10 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on JOHN WILLIAM THOMPSON.
| 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.