MS. BLUE MAKAYLA-CHRISTINA BRAUN (NPI# 1619433844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619433844 |
| Entity Type | Individual |
| Full Name | MS. BLUE MAKAYLA-CHRISTINA BRAUN |
| Other Name | MS. MAKAYLA CHRISTINA BRAUN |
| Credential | BA |
| Practice Address |
233 Sw Wallula Ave Gresham OR 97080-6858 |
| Mailing Address |
8915 Sw Center St Tigard OR 97223-6307 |
| Practice Telephone | 5039241220 |
| Practice Fax Number | 5039241221 |
| Mailing Telephone | 5037263690 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3703577 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8915 Sw Center St, Tigard, OR 972236307 | 5037263690 |
| Street Address |
233 SW WALLULA AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-6858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476518 | Amanda Gene Evans Mahony | Counselor | 233 Sw Wallula Ave, Gresham, OR 97080-6858 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236628 | Ramon Benton | Counselor | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2018-02-21 |
| 1316450265 | Philisia Roquez | Counselor | 621 Ne Kane Dr Apt 102, Gresham, OR 97030-5968 | 2017-11-14 |
| 1184142283 | Jami L Stephens | Counselor | 406 Ne 4th St Ste 110, Gresham, OR 97030-7496 | 2017-09-08 |
| 1770940645 | Kristen Brooke Beck | Counselor | 406 Ne 4th St Ste 126, Gresham, OR 97030-7496 | 2016-01-24 |
| 1932565363 | Cheyenne Marie Jones | Counselor | 254 Nw Burnside Rd Ste 230, Gresham, OR 97030-3836 | 2016-01-14 |
| 1679939920 | Alycia Smith | Counselor | 320 N Main Ave Ste 201d, Gresham, OR 97030-7242 | 2015-12-31 |
| 1538530159 | Jamie Saechao | Counselor | 429 Se 218th Ave, Gresham, OR 97030-8502 | 2015-10-08 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1346649860 | Jade Elisabeth Elaine Thayer | Counselor | 847 Se Francis Ave, Gresham, OR 97080-1343 | 2014-08-20 |
| 1639429137 | Janet Elaine Young | Counselor | 32300 Se Bluff Rd, Gresham, OR 97080-8822 | 2012-09-12 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on MS. BLUE MAKAYLA-CHRISTINA BRAUN.
| 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.