FIONA EVERETT (NPI# 1730696576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730696576 |
| Entity Type | Individual |
| Full Name | FIONA EVERETT |
| Practice Address |
1703 Sw Clay St Portland OR 97201 |
| Mailing Address |
1620 Nw Barnsley Ct Portland OR 97229-4178 |
| Practice Telephone | 5039466512 |
| Mailing Telephone | 5039466512 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C5828 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | AGENCY AFFILIATED | CG60822363 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1014 Main St, Vancouver, WA 986603151 | 3606951014 | 3607501374 |
| Street Address |
1703 SW CLAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900045 | Sasha Wright | Doula | 1703 Sw Clay St, Portland, OR 97201-2528 | 2020-10-20 |
| 1851909154 | Julisa Jillaine Golden | Doula | 1703 Sw Clay St, Portland, OR 97201-2528 | 2020-07-22 |
| 1588282800 | Brita Anna-maria Johnson | Doula | 1703 Sw Clay St, Portland, OR 97201-2528 | 2020-07-13 |
| 1619594504 | Merriah Sierra Fairchild | Lactation Consultant, Non-RN | 1703 Sw Clay St, Portland, OR 97201-2528 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206060 | Laura Elizabeth Jackson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201 | 2020-05-10 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1316496011 | Chau Huynh | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave Cl5pa, Ohsu Pa Program, Portland, OR 97201 | 2016-09-23 |
| Find all providers in zip 97201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| 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.