SUE LESLIE WAITE (NPI# 1649382623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649382623 |
| Entity Type | Individual |
| Full Name | SUE LESLIE WAITE |
| Credential | LCSW |
| Practice Address |
270 Se Pine St Roseburg OR 97470-3130 |
| Practice Telephone | 5416725100 |
| Practice Fax Number | 5416725100 |
| Mailing Telephone | 5416725100 |
| Mailing Fax Number | 5416725100 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1135 | OR | Behavioral Health & Social Service Providers |
| Street Address |
270 SE PINE ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063990 | Kayla Wright | Counselor | 205 Se Jackson St, Roseburg, OR 97470-3341 | 2020-08-10 |
| 1760092480 | Rob Salerno | Counselor | 1036 Se Douglas Ave # 105a, Roseburg, OR 97470-3317 | 2020-08-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1962710095 | Daniel E Strasser | Counselor | 127 Agape Ct, Roseburg, OR 97471-2292 | 2010-09-23 |
| 1013244599 | Randy Olander | Counselor | 545 W Umpqua St, Suite 1, Roseburg, OR 97471-2972 | 2009-11-04 |
| 1831248491 | Piper Sullivan | Counselor | 517 W Shenandoah St, Roseburg, OR 97471-2566 | 2007-01-10 |
| 1255431706 | Streamside Counseling Center | Counselor | 693 Ne Stephens St, Suite A, Roseburg, OR 97470-3192 | 2006-09-25 |
| 1730794884 | Paige Nicole Hosford | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-14 |
| 1922612035 | Fatima Jalloh | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-04 |
| 1578175451 | Kimberly Zoe Woodrich | Counselor | 205 Se Jackson St, Roseburg, OR 97470-3341 | 2020-08-20 |
| Find all providers in ROSEBURG | ||||
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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.