KRIS TRIMBLE (NPI# 1730538950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730538950 |
| Entity Type | Individual |
| Full Name | KRIS TRIMBLE |
| Credential | B.A. |
| Practice Address |
1312 Sw Washington Street Portland OR 37208-3007 |
| Mailing Address |
Po Box 3007 Portland OR 97208-3007 |
| Practice Telephone | 5035351150 |
| Mailing Telephone | 5035351150 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
1312 SW WASHINGTON STREET |
| City | PORTLAND |
| State | OR |
| Zip Code | 37208-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205960432 | Sean Donahue | Counselor | 1312 Sw Washington Street, Portland, OR 97208 | 2007-03-16 |
| 1477912780 | Dorothy Stefanello | Peer Specialist | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2016-02-15 |
| 1538531611 | Caitlin Lerch | Counselor | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2015-10-28 |
| 1023392982 | Mary Grady | Counselor | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2011-10-10 |
| 1881825115 | Zachary Caleb Douglass | Counselor | 1312 Sw Washington Street, Portland, OR 97205 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| 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.