MS. CAROL ROGERS STAMPFER (NPI# 1639258734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639258734 |
| Entity Type | Individual |
| Full Name | MS. CAROL ROGERS STAMPFER |
| Credential | FNP, PMHNP |
| Practice Address |
4212 Ne Broadway St Portland OR 97213-1422 |
| Practice Telephone | 5033827709 |
| Practice Fax Number | 5033827706 |
| Mailing Telephone | 5033827709 |
| Mailing Fax Number | 5033827706 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
200550012NP | OR | Behavioral Health & Social Service Providers |
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
200550012NP PMHN | OR | Nursing Service Providers |
| N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
83037966FNP-PP | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 5006205797 | 05 |
| Street Address |
4212 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082316 | Broadway Medical Clinic LLP | Clinic/Center | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2005-06-10 |
| 1841427572 | Michael Mazzotta | Internal Medicine | 4212 Ne Broadway St, Medical Staff Svcs, Portland, OR 97213-1422 | 2009-06-21 |
| 1487896403 | Emily Wasser Puterbaugh | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2009-04-06 |
| 1629275508 | Melissa Ann Hahn | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2007-07-02 |
| 1306964911 | Patricia Sandstrom Burke | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2007-03-26 |
| 1164563185 | Susan Frances Calvert | Pharmacist | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2007-02-11 |
| 1073670832 | Mary Baker | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2007-01-02 |
| 1902961907 | Charles M Wood | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2006-12-27 |
| 1407916513 | Anne M Hirsch | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-12-11 |
| 1568539195 | Douglas E Renouard | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895173 | Jessica L Newgard | Registered Nurse | 9135 Sw Barnes Rd Ste 761, Portland, OR 97225-6777 | 2015-11-12 |
| 1295128650 | Marla Castello | Registered Nurse | 2828 Sw Kelly Ave Ste B, Portland, OR 97201-4809 | 2015-03-10 |
| 1124378526 | Melissa Hess | Registered Nurse | 3415 Se Powell Blvd # 97202, Portland, OR 97202-3371 | 2012-09-12 |
| 1770705527 | Carol B. Mason | Registered Nurse | 722 Ne 162nd Avenue, Portland, OR 97230 | 2007-05-02 |
| 1962581264 | Catherine A Lorello-snow | Registered Nurse | 477 Congress St Ste 408, Portland, ME 04101-3431 | 2006-11-06 |
| 1346325883 | Cynthia Kathleen Rutto | Registered Nurse | 2929 Sw Multnomah Blvd Ste 102, Portland, OR 97219-4070 | 2006-10-25 |
| 1447862198 | Kiana Wood | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-08-22 |
| 1134737521 | Tia Nadler | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-07-21 |
| 1346727179 | Alyssa Anthea Adriano | Registered Nurse | 722 Ne 162nd Ave, Portland, OR 97230 | 2018-07-24 |
| 1972013860 | Elizabeth King | Registered Nurse | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2017-10-04 |
| 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.