PHILLIP G RACIES (NPI# 1689715666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689715666 |
| Entity Type | Individual |
| Full Name | PHILLIP G RACIES |
| Credential | LMFT |
| Practice Address |
4410 Ne Glisan St Portland OR 97213 |
| Mailing Address |
7015 Se Lafayette St Portland OR 97206-2535 |
| Practice Telephone | 5033842180 |
| Practice Fax Number | 5032346338 |
| Mailing Telephone | 4156869822 |
| Mailing Fax Number | 5032346338 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2019-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T1367 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 Ne 42nd Ave Ste 100e, Portland, OR 972131569 | 5033842180 | 5032346338 |
| Street Address |
4410 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748035 | Malia Susee, L.ac, Macom, Dipl.om | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2020-01-06 |
| 1720596117 | Laurelhurst Family Clinic | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2018-01-19 |
| 1497274922 | Hawthorne East Asian Medical Clinic | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2017-09-15 |
| 1477077436 | Turning Pointe Acupuncture | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2017-08-01 |
| 1588056980 | Jonathan Ho | Acupuncturist | 4410 Ne Glisan St, Portland, OR 97213-2331 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1669001723 | Jennifer Melissa Moss | Marriage & Family Therapist | 12356 Ne Brazee St, Portland, OR 97230-1841 | 2020-04-02 |
| 1174153225 | Amanda Fitzpatrick | Marriage & Family Therapist | 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 | 2020-01-16 |
| 1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
| 1538716816 | Ayala Parker | Marriage & Family Therapist | 3540 Sw Boundary St, Portland, OR 97221-3817 | 2019-08-21 |
| 1720648363 | Alicia Roshelle Turgesen | Marriage & Family Therapist | 835 Se Stephens St Ste 202, Portland, OR 97214-4636 | 2019-06-17 |
| 1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 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.