PEARL DZATA (NPI# 1619494754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619494754 |
| Entity Type | Individual |
| Full Name | PEARL DZATA |
| Practice Address |
1605 E Lincoln Rd Woodburn OR 97071-5137 |
| Practice Telephone | (503) 982-9300 |
| Mailing Telephone | 5039829300 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1605 E LINCOLN RD |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073601647 | Telecare Mental Health Services of Oregon, Inc | Psychiatric Residential Treatment Facility | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2006-10-10 |
| 1528674397 | Dylan Jessen | Case Manager/Care Coordinator | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-09-17 |
| 1265063374 | Kristy Mae Valencia | Spec/Tech, Health Info | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-01-28 |
| 1720644461 | Katrina Reale | Rehabilitation Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-05-17 |
| 1841854700 | Katelyn Prendergast | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-04-26 |
| 1881166783 | Marisa Bender | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-18 |
| 1750853651 | Donald Ray Bryson | Peer Specialist | 1605 E Lincoln Rd, Woodburn, OR 97071 | 2018-12-18 |
| 1821569872 | Karen G Hernandez | Psychologist | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-16 |
| 1467922856 | Michael David Jackson | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-11-28 |
| 1770063729 | Jill M Crittenden | Social Worker | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689071896 | Maria G Ritchey | Counselor | 2675 Molalla Rd, Woodburn, OR 97071-3523 | 2014-12-03 |
| 1932244282 | Micheen Panosh | Counselor | 976 N Pacific Hwy, Woodburn, OR 97071-3731 | 2007-02-21 |
| 1437203536 | Manuel Litwak | Counselor | 2243 Country Club Rd, Woodburn, OR 97071 | 2007-01-23 |
| 1881166783 | Marisa Bender | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-18 |
| 1154818763 | Deborah A Marinos | Counselor | 155 S Evergreen Rd, Woodburn, OR 97071-2974 | 2018-04-18 |
| 1790294312 | Maria Guadalupe Cardenas | Counselor | 976 N Pacific Hwy, Woodburn, OR 97071 | 2017-09-26 |
| 1215470612 | Dina Rivas | Counselor | 976 N Pacific Hwy, Woodburn, OR 97071-3731 | 2016-12-02 |
| 1194267294 | Dianne Himel | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2016-11-07 |
| 1902358872 | Franklin Delano Weaver Jr. | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2016-10-26 |
| 1205384609 | Pedro Cruz Vasquez | Counselor | 976 N Pacific Hwy, Woodburn, OR 97071-3731 | 2016-09-14 |
| Find all providers in WOODBURN | ||||
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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.