PAUL MICHAEL MARTIN (NPI# 1659843431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659843431 |
Entity Type | Individual |
Full Name | PAUL MICHAEL MARTIN |
Practice Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
Mailing Address |
920 Sw 173rd Ave Beaverton OR 97006-8068 |
Practice Telephone | 5036453581 |
Mailing Telephone | 5039526766 |
Enumeration Date | 2018-12-18 |
Last Update Date | 2019-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245750165 | Paul Douglas Martin | Dentist | 270 Cobb Pkwy S Ste 180, Marietta, GA 30060-6520 | 2017-06-21 |
1801019351 | Paul A Martin | Dentist | 277 Church Ave Ste A, Chula Vista, CA 91910-2728 | 2007-04-11 |
1548380686 | Paul L. Martin Jr. | Psychologist | 2200 N Ponce De Leon Blvd Ste 3, St Augustine, FL 32084-2650 | 2007-03-30 |
1437245107 | Paul Timothy Martin | Chiropractor | 9040 Millbranch Rd, Southaven, MS 38671-1420 | 2006-10-04 |
1124006275 | Paul B Martin | Internal Medicine | 206 W 79th St, Apt 3r, New York, NY 10024-6235 | 2006-01-08 |
1841292018 | Paul A Martin | Family Medicine | 77 E Woodbury Dr, Suite 110, Dayton, OH 45415-2855 | 2005-06-01 |
1659843126 | Paul Martin | Social Worker | 2139 Adam Clayton Powell Jr Blvd, New York, NY 10027-3719 | 2018-12-21 |
1639656598 | Paul Andrew Martin | Counselor | 5808 Balcones Dr Ste 201, Austin, TX 78731-4215 | 2018-07-24 |
1801393525 | Paul J Martin | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2018-04-09 |
1609385004 | Paul Martin | Counselor | 120 N 3rd St, Ironton, OH 45638-1574 | 2017-09-28 |
Street Address |
14600 NW CORNELL RD |
City | PORTLAND |
State | OR |
Zip Code | 97229-5442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467408013 | Lifeworks Nw | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2006-05-25 |
1083213771 | Rebecca Saunders | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
1225637986 | Nicholas David Carter | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
1720686223 | Ruby Benner | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-15 |
1326654898 | Lindsy Jean Brownson | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-21 |
1689280554 | Elizabeth Cady Yu Louise Handley | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-16 |
1184238024 | Clark Hazel | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-09-08 |
1942813704 | Juliana Marler | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-30 |
1508479478 | Kevin I Lay | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-28 |
1144833674 | Alyssa Pataki | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
Find all providers in zip 97229 |
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.