MRS. EVELYN MARIE WALDON (NPI# 1578570446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578570446 |
Entity Type | Individual |
Full Name | MRS. EVELYN MARIE WALDON |
Credential | RN |
Practice Address |
825 Ne 22nd St Gresham OR 97030-4023 |
Practice Telephone | 5036699710 |
Practice Fax Number | 5036660123 |
Mailing Telephone | 5036699710 |
Mailing Fax Number | 5036660123 |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
00025865 | OR | Nursing Service Providers |
Street Address |
825 NE 22ND ST |
City | GRESHAM |
State | OR |
Zip Code | 97030-4023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447375167 | Jacqueline A Thoreson | Registered Nurse | 2958 Se 27th Ct, Gresham, OR 97080-6293 | 2007-03-20 |
1932415288 | Richard Carlo Soehl | Registered Nurse | 4101 Ne Division St, Suite 100, Gresham, OR 97030-4617 | 2010-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316556574 | Anne Marie Wilson | Registered Nurse | 3664 Fairhaven Dr, West Linn, OR 97068-3779 | 2020-07-23 |
1275157604 | Lauralee St Clair | Registered Nurse | 35398 S Dickey Prairie Rd, Molalla, OR 97038-8627 | 2020-06-01 |
1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
1477184695 | Brenda Rasczewski | Registered Nurse | 3235 6th St, Columbia City, OR 97018-9703 | 2020-01-27 |
1669011706 | Amanda Ervin | Registered Nurse | 1485 Nw Penny Ln, Albany, OR 97321-1170 | 2020-01-06 |
1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
1972149482 | Kendra Dee Falk | Registered Nurse | 2152 Lomond Ave, Springfield, OR 97477-2579 | 2019-11-19 |
1790328003 | Bethanie Robbins Girardi | Registered Nurse | 748 Little Oak St, Newberg, OR 97132-7476 | 2019-10-21 |
1124669288 | Andrea Marie Lanning | Registered Nurse | 60847 Love Rd, Cove, OR 97824-8210 | 2019-09-30 |
1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
Find all providers with the same taxonomy |
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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.