MANDY L PORTER (NPI# 1730683558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730683558 |
| Entity Type | Individual |
| Full Name | MANDY L PORTER |
| Credential | PSY. D. |
| Practice Address |
2600 Center St Ne Salem OR 97301-2682 |
| Practice Telephone | 5039452800 |
| Mailing Telephone | 5039452800 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2735 | OR | Behavioral Health & Social Service Providers |
| Street Address |
2600 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857295 | Charles J Rim | Dentist | 2600 Center St Ne, Salem, OR 97301-2669 | 2005-08-03 |
| 1467059782 | Lucas Arcoverde | Nurse Practitioner | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-10-08 |
| 1548875834 | Mona Keivani | Pharmacist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-09-13 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1033733027 | Doris Okoli | Nurse Practitioner | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-06-04 |
| 1679197370 | Kristopher Kurtis Adams | Psychologist | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-05-29 |
| 1275162711 | Tyler St. Clair | Social Worker | 2600 Center St Ne, Salem, OR 97301-2682 | 2020-04-06 |
| 1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
| 1154956548 | Connie Jo Mickelson | Dietitian, Registered | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-06 |
| 1841824588 | Margherita Zaheera Vaulte | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1871114793 | Lola White Psyd LLC | Psychologist | 388 State St Ste 704, Salem, OR 97301-4023 | 2020-05-01 |
| 1992270615 | Dr Taloyo LLC | Psychologist | 3000 Market St Plaza Ne Ste 426, Salem, OR 97301-1894 | 2018-10-09 |
| 1023509825 | Kevin T Cannon | Psychologist | 10 Federal St Ste 307, Salem, MA 01970-3860 | 2018-05-29 |
| 1538659339 | Morgan K Eichorst | Psychologist | 1970 Roanoke Blvd # 116b, Salem, VA 24153-6478 | 2018-05-16 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1942660196 | Andrew Kenagy | Psychologist | 2601 25th St Se Ste 420, Salem, OR 97302 | 2016-03-01 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1225333958 | Robert H. Jones, Ph.d., P.C. | Psychologist | 1307 Commercial St. S.e., Salem, OR 97302-4205 | 2011-01-11 |
| 1891006383 | Tessa Nicole Salisbury | Psychologist | 170 E 300 S, Salem, UT 84653-9453 | 2010-06-29 |
| Find all providers in SALEM | ||||
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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.