LAURA FAYE DUNN (NPI# 1639637325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639637325 |
| Entity Type | Individual |
| Full Name | LAURA FAYE DUNN |
| Credential | RN CADC1 |
| Practice Address |
1122 Ne 122nd Ave Ste A102 Portland OR 97230-2082 |
| Mailing Address |
18501 E Burnside St Portland OR 97233-5316 |
| Practice Telephone | 5039014203 |
| Mailing Telephone | 5039014203 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17-11-04 | OR | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | 200341401RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240370 | Laura Dunn | Social Worker | 479 Thomas Jones Way Ste 100, Exton, PA 19341-2585 | 2019-11-21 |
| 1609159094 | Laura Ann Dunn | Pharmacist | 1700 Vista Chino, Palm Springs, CA 92262-3511 | 2011-09-22 |
| 1760095301 | Laura Marie Dunn | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-08-24 |
| 1154667202 | Laura Anita Dunn | Clinical Nurse Specialist | 452 Lakeshore Pkwy, Suite 105, Rock Hill, SC 29730-4291 | 2012-12-18 |
| 1194093609 | Laura Dunn | Social Worker | 208 E 7th St, Hays, KS 67601-4139 | 2011-12-12 |
| 1053691840 | Laura Dunn | Occupational Therapist | 3488 Jeffco Blvd Ste 102, Arnold, MO 63010-6015 | 2011-08-24 |
| 1669628574 | Laura Dunn | Physical Therapist | 2180 Main St, Wailuku, HI 96793-1625 | 2008-08-12 |
| 1437324647 | Laura Catherine Dunn | Internal Medicine | 2700 Clay Edwards Dr, Suite 240, North Kansas City, MO 64116-3251 | 2008-04-29 |
| 1316121833 | Laura J Dunn | Registered Nurse | Rosebud Ihs Hospital, Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2007-12-19 |
| 1629290168 | Laura Dunn | Physical Therapist | 4560 South Blvd, 310, Virginia Beach, VA 23452 | 2007-05-03 |
| Street Address |
1122 NE 122ND AVE STE A102 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081881 | Sober Living Oregon Recovery Center | Clinic/Center | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2018-11-09 |
| 1386275808 | Ian Stuart Murphy | Counselor | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2020-02-03 |
| 1124668447 | Laurie Fortin | Counselor | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2020-01-14 |
| 1881235406 | Julia Rose Eggen | Counselor | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2019-10-04 |
| 1073154605 | Kazia Sing Romain Berman | Counselor | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2019-10-04 |
| 1912462417 | Summer Baker | Counselor | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.