JOAN B FLEISHMAN


Address: 3930 Se Division St, Portland, OR 97202-1643
Phone: 5034188201

JOAN B FLEISHMAN (NPI# 1639422132) 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) 1639422132
Entity Type Individual
Full Name JOAN B FLEISHMAN
Credential PSYD
Practice Address 3930 Se Division St
Portland
OR 97202-1643
Practice Telephone 5034188201
Mailing Telephone 5034188201
Enumeration Date 2012-10-22
Last Update Date 2019-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
2335 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
55 Lake Ave N, Family Medicine & Community Health, Worcester, MA 016550002 5083341000

Office Location

Street Address 3930 SE DIVISION ST
City PORTLAND
State OR
Zip Code 97202-1643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205547 Valerie Lynn Cecil Nurse Practitioner 3930 Se Division St, Portland, OR 97202-1643 2005-06-20
1982221081 Rebekah Bartholomew Pharmacist 3930 Se Division St, Portland, OR 97202-1643 2020-07-06
1043768344 Cari Baugh Pharmacist 3930 Se Division St, Portland, OR 97202-1643 2016-09-14
1063880110 Allison Foxx Physician Assistant 3930 Se Division St, Portland, OR 97202-1643 2015-09-07
1477929958 Kristine Ethridge Pharmacist 3930 Se Division St, Portland, OR 97202-1643 2015-08-19
1891187498 Meredith Preble Counselor 3930 Se Division St, Portland, OR 97202-1643 2015-02-19
1417394354 Heather Mackay Student in an Organized Health Care Education/Training Program 3930 Se Division St, Portland, OR 97202-1643 2013-06-02
1659623742 Rory Eugene Jordan Fifield Pharmacist 3930 Se Division St, Portland, OR 97202-1643 2012-10-12
1477816353 Suzannah Luhn Nurse Practitioner 3930 Se Division St, Portland, OR 97202-1643 2012-06-16
1710245170 Brian Allen Baynes Student in an Organized Health Care Education/Training Program 3930 Se Division St, Portland, OR 97202-1643 2012-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007387 Lyle Vintinner Psychologist 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 2020-09-11
1194341297 Natalie Dawn Mitchell Psychologist 3762 Sw Council Crest Dr, Portland, OR 97239-1595 2020-06-24
1992331607 Erin A. Mueller Psychologist 718 Sw Alder St Ste 200, Portland, OR 97205-3423 2020-03-14
1952940520 Timothy Allen Cooper Psychologist 3331 Sw Hamilton Ct, Portland, OR 97239-1256 2019-12-31
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1093373631 Emily Catherine Stasko Psychologist 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 2019-05-29
1174094544 Juniper Psychological Services Psychologist 2827 Ne Alberta St, Portland, OR 97211-6350 2018-12-11
1528539335 Mark G Kiefner Phd LLC Psychologist 225 Commercial St Ste 403, Portland, ME 04101-6603 2018-12-06
1467941831 Shannon Madore Psychologist 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 2018-05-01
1033637202 Kaylin Jones Psychologist 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 2017-09-07
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Competitor

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City PORTLAND
Zip Code 97202

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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