DOUGLAS K O'DELL (NPI# 1720194392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720194392 |
| Entity Type | Individual |
| Full Name | DOUGLAS K O'DELL |
| Credential | M.A. |
| Practice Address |
10163 Se Sunnyside Rd Ste 490 Clackamas OR 97015-5720 |
| Mailing Address |
1395 Cornell Ave Gladstone OR 97027-4607 |
| Practice Telephone | 5035134413 |
| Mailing Telephone | 5036577232 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| 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 97-04-47 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427072339 | Douglas Wayne O'dell | Dentist | 1210 Virginia St E, Charleston, WV 25301-2928 | 2006-07-26 |
| Street Address |
10163 SE SUNNYSIDE RD STE 490 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020767 | Susan Seely Hook | Marriage & Family Therapist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-16 |
| 1548733017 | Tyler Casey | Pharmacist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2019-01-08 |
| 1992061436 | Bob Wynn | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2012-04-10 |
| 1528385812 | Katelyn Snyder | Counselor | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2010-04-26 |
| 1225229396 | Han-chun Liang | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2007-08-05 |
| 1467534909 | Darian Vincent Minkunas | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-10-20 |
| 1710082979 | Timothy Kevin Kelly | Counselor | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-09-13 |
| 1366554123 | Jeanne Louise Ewen | Social Worker | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-31 |
| 1174633929 | Johnny Corrace Walker | Social Worker | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-30 |
| 1750495875 | Thomas Jess Smurthwaite | Psychologist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457482077 | Richard Powell Johnson | Counselor | 15630 Se 90th Ave, Clackamas, OR 97015-9729 | 2007-03-07 |
| 1134267875 | Katherine Eloise Bentley | Counselor | 10180 Se Sunnyside Rd Fl 1, Clackamas, OR 97015-8970 | 2007-02-02 |
| 1225583065 | Kyle Malin | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-08-22 |
| 1982074647 | Joseph T Stevens | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-10-06 |
| 1417361635 | Jennifer Christine Stai | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-06-16 |
| 1417376211 | Victor Charles Panza IIi | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-04-09 |
| 1710303037 | Jessica Scott | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2014-03-11 |
| 1396001186 | Kirk E Kenward | Counselor | 10180 Se Sunnyside Rd, 1st Floor, Wing A, Clackamas, OR 97015-8970 | 2012-04-05 |
| 1407122476 | Kathryn J Wright | Counselor | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-23 |
| 1871868976 | Johnny Dean Gonzales | Counselor | 10180 Se Sunnyside Rd, 1st Floor, Wing A, Clackamas, OR 97015-8970 | 2012-03-21 |
| Find all providers in CLACKAMAS | ||||
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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.