DERECK DAVID ESTRADA (NPI# 1619440104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619440104 |
| Entity Type | Individual |
| Full Name | DERECK DAVID ESTRADA |
| Credential | LPMHC |
| Practice Address |
8495 Crater Lake Hwy # 116b White City OR 97503-3011 |
| Mailing Address |
639 Shadow Way Central Point OR 97502-2526 |
| Practice Telephone | 5418262111 |
| Mailing Telephone | 5414147383 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C4199 | OR | Behavioral Health & Social Service Providers |
| Street Address |
8495 CRATER LAKE HWY # 116B |
| City | WHITE CITY |
| State | OR |
| Zip Code | 97503-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
| 1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
| 1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
| 1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
| 1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
| 1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
| Find all providers in zip 97503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1861965337 | Hannah Kathleen Stafford | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-01-08 |
| 1497170658 | Alexander Counseling Center, LLC | Counselor | 7526 Crater Lake Hwy, White City, OR 97503-1617 | 2014-02-25 |
| 1801232665 | Carol Ann Berger | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2013-05-20 |
| 1013966589 | Michael John Omalley | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1932708559 | Laurie Sue Urbach | Counselor | 501 Sw Western Ave, Grants Pass, OR 97526-5811 | 2020-10-23 |
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1225637671 | Lisa Sturdivant | Counselor | 17321 Sw Woodhaven Dr, Sherwood, OR 97140-8225 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CITY |
| Zip Code | 97503 |
Please comment or provide details below to improve the information on DERECK DAVID ESTRADA.
| 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.