SPECT-ACTORS COLLECTIVE (NPI# 1679127815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679127815 |
| Entity Type | Organization |
| Organization Name | SPECT-ACTORS COLLECTIVE |
| Practice Address |
620 Nw 8th St Gresham OR 97030-6935 |
| Practice Telephone | 5039016285 |
| Mailing Telephone | 5039016285 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | SANDRA HELENA HERNANDAS (CEO) |
| Authorized Official Telephone | 5039016285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Doulas Latinas | Doing Business As Name - Organization |
| Street Address |
620 NW 8TH ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-6935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722085 | Linda Gail Bennett | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| 1295389674 | Sandra Helena Hernandes | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1154971109 | Micaela Lopez | Doula | 3240 Se 1st St Apt 1, Gresham, OR 97080-1418 | 2019-09-11 |
| 1639722085 | Linda Gail Bennett | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| 1285960575 | Rhonda L Davis | Doula | 3149 Sw Emerald Ave, Gresham, OR 97080-5460 | 2009-10-21 |
| 1295389674 | Sandra Helena Hernandes | Doula | 620 Nw 8th St, Gresham, OR 97030-6935 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659671 | Lindsay Marie Thomas | Doula | 4503 Se 66th Ave, Portland, OR 97206-4501 | 2020-11-04 |
| 1053912402 | Rachel Elizabeth Benak | Doula | 4602 Se Harrison St, Milwaukie, OR 97222-5222 | 2020-11-03 |
| 1467052084 | Jenessa Garrett | Doula | 1515 Sw Montgomery St, Portland, OR 97201-2558 | 2020-11-01 |
| 1518566413 | Ghada Barbour | Doula | 3436 Nw Coronado St, Corvallis, OR 97330-4694 | 2020-10-21 |
| 1093314171 | Miranda Tasker | Doula | 636 11th Ave Sw, Albany, OR 97321-2506 | 2020-10-20 |
| 1699374926 | Jessica Ford | Doula | 3652 Se Stark St Apt 9, Portland, OR 97214-3161 | 2020-10-19 |
| 1356956742 | Erin Caassidy Stanton | Doula | 21872 S Mija Ln, Estacada, OR 97023-9607 | 2020-09-11 |
| 1669086583 | Kathryn Mathew | Doula | 2743 Ne 16th Ave, Portland, OR 97212-3307 | 2020-09-08 |
| 1457965568 | Jill Pullen | Doula | 14345 Nw Hunters Dr, Beaverton, OR 97006-5658 | 2020-09-04 |
| 1235743626 | Jaime Ellen York | Doula | 17160 Merganser Dr, Bend, OR 97707-2099 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.