AMBER JEANNE HENRICKSON (NPI# 1588102461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588102461 |
| Entity Type | Individual |
| Full Name | AMBER JEANNE HENRICKSON |
| Credential | NTP |
| Practice Address |
4235 Sw Corbett Ave Portland OR 97239-4203 |
| Practice Telephone | 5037897108 |
| Mailing Telephone | 5037897108 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
1740 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932638509 | Amber Renee Henrickson | Counselor | 1717 Ontario St, Sandpoint, ID 83864-9329 | 2017-06-07 |
| Street Address |
4235 SW CORBETT AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164627907 | Joanna Volkoff | Occupational Therapy Assistant | 4235 Sw Corbett Ave, Portland, OR 97239-4203 | 2007-06-20 |
| 1346753852 | Linda Dee Caravia | Massage Therapist | 4235 Sw Corbett Ave, Portland, OR 97239-4203 | 2017-11-07 |
| 1245781251 | Audra Erickson | Massage Therapist | 4235 Sw Corbett Ave, Portland, OR 97239-4203 | 2016-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281895 | Robin Pulskamp | Nutritionist | 4516 Ne 41st Ave, Portland, OR 97211-8139 | 2020-03-25 |
| 1639545585 | Shawna Esparza | Nutritionist | 3837 Se Ogden St, Portland, OR 97202-7828 | 2015-08-14 |
| 1316345143 | Maria J Glad | Nutritionist | 278 Veranda St, Portland, ME 04103 | 2014-12-10 |
| 1306152004 | Emily Butler | Nutritionist | 1934 Nw 29th Ave, #7, Portland, OR 97210-2286 | 2010-08-19 |
| 1053563866 | Thrita Medical Center | Nutritionist | 7825 Sw 35th Ave, Portland, OR 97219-2463 | 2008-10-13 |
| 1235202607 | Pamlin Pegg | Nutritionist | 1017 Sw Morrison St Ste 404, Portland, OR 97205-2629 | 2006-11-15 |
| 1841739042 | Kelly Morgensen | Nutritionist | 9020 Sw Washington Square Rd, St 500, Portland, OR 97223-4491 | 2017-02-21 |
| 1336546738 | Chelsea Fyrberg | Nutritionist | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-12-01 |
| 1306263959 | Julie Stahl | Nutritionist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-20 |
| 1265870315 | Heather M Schrock | Nutritionist | 314 Ne 19th Ave, Portland, OR 97232-2829 | 2013-06-11 |
| Find all providers in PORTLAND | ||||
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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.