ROSA BROTHERTON (NPI# 1770149668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149668 |
| Entity Type | Individual |
| Full Name | ROSA BROTHERTON |
| Practice Address |
8770 Sw Scoffins St Tigard OR 97223-6226 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5036841424 |
| Mailing Telephone | 5036453581 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| 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 |
| Street Address |
8770 SW SCOFFINS ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710990189 | John Goddard Gale Jr. | Psychiatry & Neurology | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2006-08-15 |
| 1194337311 | Jessica Locascio | Case Manager/Care Coordinator | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2020-08-19 |
| 1851946883 | Alyssa R Warner | Student in an Organized Health Care Education/Training Program | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2019-08-06 |
| 1447803440 | Sarah Baump | Counselor | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2019-07-18 |
| 1780242230 | Kaylie Victoria Granlund | Case Manager/Care Coordinator | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2019-05-30 |
| 1235794835 | Delanie Jean Garrett | Student in an Organized Health Care Education/Training Program | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2019-05-08 |
| 1700314838 | Nicole Hayford | Marriage & Family Therapist | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2017-06-02 |
| 1295180099 | Barbara Lynne Lybarger | Counselor | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2016-04-28 |
| 1639532948 | Carrie Bernadette Kanelis | Counselor | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2016-04-04 |
| 1457729295 | Elaine Franco | Counselor | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2015-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1902407265 | Daisy May Macgilbert | Student in an Organized Health Care Education/Training Program | 15698 Sw Greenfield Dr, Tigard, OR 97224-3828 | 2020-11-03 |
| 1902461361 | Kellen Earl Plomski | Student in an Organized Health Care Education/Training Program | 7421 Sw Bridgeport Rd Ste 200, Tigard, OR 97224-7707 | 2019-05-01 |
| 1912360280 | Brian Ki | Student in an Organized Health Care Education/Training Program | 12843 Sw Village Park Ln, Tigard, OR 97223-7846 | 2016-04-03 |
| 1083016422 | Sabeen Chohan | Student in an Organized Health Care Education/Training Program | 15332 Sw Oak Valley Ter, Tigard, OR 97224-6121 | 2014-09-17 |
| 1861891251 | Ann Bennett | Student in an Organized Health Care Education/Training Program | 7817 Sw Brookline Ln, Tigard, OR 97224-8225 | 2014-08-21 |
| 1114283504 | Colin Field-eaton | Student in an Organized Health Care Education/Training Program | 12680 Sw Watkins Ave, Tigard, OR 97223-5123 | 2012-04-10 |
| 1588949366 | Jason Raymond Swift | Student in an Organized Health Care Education/Training Program | 9000 Sw Durham Rd Bldg 7110, Tigard, OR 97224-5539 | 2011-10-12 |
| 1891081303 | Memory Mupfupi | Student in an Organized Health Care Education/Training Program | 11970 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2011-06-22 |
| 1275721813 | Donna Lozon | Student in an Organized Health Care Education/Training Program | 11155 Sw Hall Blvd, Apt 15, Tigard, OR 97223-8464 | 2007-10-09 |
| 1851946883 | Alyssa R Warner | Student in an Organized Health Care Education/Training Program | 8770 Sw Scoffins St, Tigard, OR 97223-6226 | 2019-08-06 |
| Find all providers in TIGARD | ||||
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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.