TREVOR SCOTT RACHKO


Address: 1410 Ne 106th Ave, Portland, OR 97220-3934
Phone: 5034600405

TREVOR SCOTT RACHKO (NPI# 1598316572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598316572
Entity Type Individual
Full Name TREVOR SCOTT RACHKO
Credential PMHNP, MSN
Practice Address 1410 Ne 106th Ave
Portland
OR 97220-3934
Mailing Address 2985 Ne Moda Way Apt 317
Hillsboro
OR 97124-7019
Practice Telephone 5034600405
Practice Fax Number 5034600434
Mailing Telephone 5037011679
Enumeration Date 2019-09-22
Last Update Date 2019-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201909432NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1410 NE 106TH AVE
City PORTLAND
State OR
Zip Code 97220-3934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316017585 Theresa Bunker Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2006-11-08
1558975151 Amber Rae Oyama Clinic/Center 1410 Ne 106th Ave, Portland, OR 97220-3934 2020-09-02
1912540980 Kyle Edward Anderson Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-10-23
1801449301 Eva Cicilian Registered Nurse 1410 Ne 106th Ave, Portland, OR 97220-3934 2019-07-23
1891128005 Neisha Caldwell Counselor 1410 Ne 106th Ave, Portland, OR 97220-3934 2013-08-12
1659622454 Elizabeth Jane Sadock Psychologist 1410 Ne 106th Ave, Portland, OR 97220-3934 2012-09-20
1366751638 Brittany Lyn Kolluru Naturopath 1410 Ne 106th Ave, Portland, OR 97220-3934 2010-10-04
1659604825 Marti L Baird Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2009-09-04
1164576617 Gwyneth Theresa Jones Nurse Practitioner 1410 Ne 106th Ave, Portland, OR 97220-3934 2007-01-22
1548330715 Bridge City Family Medical Clinic, PC Clinic/Center 1410 Ne 106th Ave, Portland, OR 97220-3934 2006-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

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.

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