MR. ROBERT CASEY KENDALL (NPI# 1750689014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750689014 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CASEY KENDALL |
| Credential | MSP |
| Practice Address |
209 Sw 4th Ave Ste 520 Portland OR 97204-1825 |
| Practice Telephone | 5036807360 |
| Mailing Telephone | 5036807360 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750835450 | Robert Kendall | Registered Nurse | 6909 Silver Creek Cir, Lawton, OK 73505-4211 | 2016-08-10 |
| 1750445029 | Robert I Kendall | Pathology | 2500 S Douglas Rd Ste A, Coral Gables, FL 33134-6104 | 2006-12-21 |
| 1760675979 | Robert C Kendall Jr. | Pharmacist | 3758 Burgoyne Ave, Hudson Falls, NY 12839-1268 | 2007-08-21 |
| Street Address |
209 SW 4TH AVE STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538237904 | Multnomah County | Clinic/Center | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2006-12-01 |
| 1013541911 | Anders Amadeus Kass | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2020-02-28 |
| 1770121188 | Penelope Lynne Jones | Student in an Organized Health Care Education/Training Program | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-12-16 |
| 1376190140 | Bruce Michael Spilde | Social Worker | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-08-26 |
| 1518526961 | Amanda Kubisch | Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-06-10 |
| 1275097552 | Dekaira D Smith | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-01-30 |
| 1417435488 | Noura Al-khadher | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2018-08-01 |
| 1669903944 | Glenda Quezada | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2017-03-27 |
| 1720419054 | Multnomah County | Community/Behavioral Health | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2013-12-12 |
| 1538427257 | Braunwynn Franklin | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1972124196 | Outside In | Counselor | 16144 E Burnside St, Portland, OR 97233-3520 | 2020-04-28 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1912527201 | Alexa Jenkins | Counselor | 2700 Se Stark St Apt 3, Portland, OR 97214-3499 | 2020-04-16 |
| 1467086629 | Katelan Ruby Hostetler | Counselor | 13300 Ne San Rafael St, Portland, OR 97230-3123 | 2020-02-26 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1093346777 | Sprout Therapy Pdx LLC | Counselor | 7704 N Hereford Ave, Portland, OR 97203-3434 | 2020-01-30 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| 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.