DR. ANCA MIRELA IVAN (NPI# 1669669784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669669784 |
| Entity Type | Individual |
| Full Name | DR. ANCA MIRELA IVAN |
| Credential | PSYD |
| Practice Address |
1800 Blankenship Rd # 200 West Linn OR 97068-4172 |
| Practice Telephone | 5036502240 |
| Practice Fax Number | 5036502248 |
| Mailing Telephone | 5036502240 |
| Mailing Fax Number | 5036502248 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 19910 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY 19910 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE # | 1932 | 01 |
| Street Address |
1800 BLANKENSHIP RD # 200 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508271198 | Dermatology Solutions LLC | Clinic/Center | 1800 Blankenship Rd, Suite 448, West Linn, OR 97068-4172 | 2014-06-23 |
| 1679851075 | Terrence K Wager | Psychologist | 1800 Blankenship Rd, Ste.200, West Linn, OR 97068-4172 | 2011-08-02 |
| 1730364563 | Rachel Pulver | Registered Nurse | 1800 Blankenship Rd, Suite 448, West Linn, OR 97068-4172 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003240078 | Tracy Leigh Chisholm | Psychologist | 22400 Johnson Rd, West Linn, OR 97068-9722 | 2013-08-27 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| 1871787754 | Tamara Lynn Hoogestraat | Psychologist | 21900 Willamette Dr Ste 120, West Linn, OR 97068-3280 | 2007-09-04 |
| 1659411882 | Alice Moody | Psychologist | 21900 Willamette Dr Ste 202, West Linn, OR 97068-3284 | 2007-02-07 |
| 1568518140 | Barbara M Houston | Psychologist | 1880 Willamette Falls Dr Ste 230, West Linn, OR 97068-4654 | 2007-01-26 |
| 1508868589 | Laura Beth Schwerin | Psychologist | 1660 Willamette Falls Dr, West Linn, OR 97068-4521 | 2005-08-10 |
| 1306246392 | Tyler Gerdin | Psychologist | 21900 Willamette Dr Ste 202, West Linn, OR 97068-3284 | 2014-08-27 |
| 1720412224 | Brianne Eileen Henry-mcallister | Psychologist | 21900 Willamette Dr Ste 202, West Linn, OR 97068 | 2013-09-03 |
| 1770837163 | Lee Hutson | Psychologist | 1750 Blankenship Rd, West Linn, OR 97068-5101 | 2012-11-06 |
| 1235432832 | Paige L. Marmer | Psychologist | 21900 Willamette Dr Ste 202, West Linn, OR 97068-3284 | 2010-12-21 |
| Find all providers in WEST LINN | ||||
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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.