PRISCILLA PARK (NPI# 1750912606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750912606 |
| Entity Type | Individual |
| Full Name | PRISCILLA PARK |
| Practice Address |
530 Nw 27th St Corvallis OR 97330-5223 |
| Mailing Address |
1655 Savage Rd Ne Salem OR 97301-1762 |
| Practice Telephone | 5417666677 |
| Mailing Telephone | 4082053446 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023298460 | Priscilla Park | Physical Therapist | 3150 18th St Ste 438, San Francisco, CA 94110-2077 | 2007-11-13 |
| 1518094507 | Priscilla Stewart Park | Psychiatry & Neurology | 29398 Recovery Way, Junction City, OR 97448-8442 | 2007-02-27 |
| 1043704232 | Priscilla J Park | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1447618939 | Priscilla Park | Technician, Other | 1901 Carnegie Ave Ste 1c, Santa Ana, CA 92705-5504 | 2016-01-29 |
| 1932447232 | Priscilla Park | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-01-21 |
| Street Address |
530 NW 27TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304396 | Kristin Briana Bradford | Family Medicine | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2005-05-31 |
| 1588279624 | Kendall Kramer | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-15 |
| 1578178836 | Tritia Veronica Esquivel | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-14 |
| 1417562828 | Ricardo Angel Sanchez | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-11 |
| 1144835083 | Laura Moran | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-09-08 |
| 1275141210 | Corinne Anway | Pharmacist | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-07-15 |
| 1841813896 | Tonya Davenport | Technician | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2020-05-26 |
| 1982226940 | Juana Little | Community Health Worker | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-05-13 |
| 1235750340 | Tashia Monique Crump | Dental Assistant | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-04-29 |
| 1356981369 | Karen M Faux | Dental Hygienist | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354880 | Justin Tyler Miracle | Student in an Organized Health Care Education/Training Program | 1421 Nw Cleveland Ave, Corvallis, OR 97330-2015 | 2020-10-18 |
| 1700347408 | Michelle Dawn Snyder | Student in an Organized Health Care Education/Training Program | 2920 Nw Grant Ave, Corvallis, OR 97330-1841 | 2019-03-26 |
| 1689177420 | Avery Marie Briggs | Student in an Organized Health Care Education/Training Program | 437 Nw 6th St, Corvallis, OR 97330-6424 | 2018-03-16 |
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1427582519 | David Sanders | Student in an Organized Health Care Education/Training Program | 3189 Se Everglade St, Corvallis, OR 97333-3236 | 2017-04-14 |
| 1609253004 | Matt Glaus | Student in an Organized Health Care Education/Training Program | 205 Nw 11th St, Apt 1, Corvallis, OR 97330-6048 | 2015-05-05 |
| 1518387315 | John Hudspeth | Student in an Organized Health Care Education/Training Program | 560 Nw 27th St, Corvallis, OR 97330-5223 | 2014-04-18 |
| 1609219989 | Miranda Dawn Lanning | Student in an Organized Health Care Education/Training Program | 7540 Nw Valley View Dr, Corvallis, OR 97330-9748 | 2013-04-16 |
| 1174898530 | Canan Schumann | Student in an Organized Health Care Education/Training Program | 935 Nw Hobart Ave Apt 5, Corvallis, OR 97330-2138 | 2012-03-19 |
| 1821361726 | Theresa Stangel | Student in an Organized Health Care Education/Training Program | 4455ne Hwy 20, Children's Farm Home, Corvallis, OR 97330 | 2012-02-23 |
| Find all providers in CORVALLIS | ||||
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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.