MR. ROBERT CHARLES KOEHLER (NPI# 1578098083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578098083 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CHARLES KOEHLER |
| Practice Address |
627 Ne Evans St Mcminnville OR 97128-3923 |
| Practice Telephone | 5034347523 |
| Practice Fax Number | 5034349846 |
| Mailing Telephone | 5034347523 |
| Mailing Fax Number | 5034349846 |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2017-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740713171 | Robert Koehler Jr. | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 5.196, Houston, TX 77030-1501 | 2017-04-03 |
| 1043306244 | Robert N Koehler | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-10-05 |
| 1043247513 | Robert E Koehler | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2006-06-28 |
| Street Address |
627 NE EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265820 | Stephanie Harper Potts | Nurse Practitioner | 627 Ne Evans St, Mcminnville, OR 97128 | 2005-06-14 |
| 1700492139 | Katelyn M Spain | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-21 |
| 1053926287 | Molly Marie Joubert | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-14 |
| 1861019085 | Ashley Young | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-07-03 |
| 1033735626 | Jamie Jolyn Smith | Case Manager/Care Coordinator | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-06-19 |
| 1265055800 | Anna Spoden | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-18 |
| 1306468442 | Kelly Stone | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-12 |
| 1598385221 | Shaeli Diane Ferguson | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-04-22 |
| 1588291231 | Laura Molloy | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-24 |
| 1194351288 | Darlene Michelle Gutbrod | Nurse's Aide | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
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| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906436 | Christina Kay Davidson | Behavior Technician | 625 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-11 |
| 1649761552 | Niki L Demar | Behavior Technician | 625 Ne Galloway St, Mcminnville, OR 97128-3933 | 2018-05-25 |
| 1780101592 | Tiffany Elaine Cogswell | Behavior Technician | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1417563800 | Anahita Pirouzmand | Behavior Technician | 8605 Ne Trailwalk Dr Apt C304, Hillsboro, OR 97006-4958 | 2020-09-21 |
| 1467077628 | Holly Brandt | Behavior Technician | 478 Ne Burnside Ave, Bend, OR 97701-5123 | 2020-06-13 |
| 1609491307 | Wendy Wilson | Behavior Technician | 1400 Ne Rockwell Dr, Estacada, OR 97023-7615 | 2020-06-09 |
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1316573470 | Shelia Faye Sloan | Behavior Technician | 38928 River Dr, Lebanon, OR 97355-8913 | 2020-03-20 |
| 1598391260 | Leah Noelle Addington | Behavior Technician | 2405 Ne John Olsen Ave Apt B215, Hillsboro, OR 97006-6754 | 2020-03-13 |
| 1295360261 | Donna Yvonne Meza | Behavior Technician | 1369 N Pacific Hwy Ste 1800, Woodburn, OR 97071-3617 | 2020-03-10 |
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| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.