MRS. SARA RENEE EDGE (NPI# 1780962829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780962829 |
| Entity Type | Individual |
| Full Name | MRS. SARA RENEE EDGE |
| Credential | M.S.W |
| Practice Address |
2935 Sw Cedar Hills Blvd Beaverton OR 97005-1342 |
| Mailing Address |
328 W Main St Suite 00 Hillsboro OR 97123-3967 |
| Practice Telephone | 5033526000 |
| Practice Fax Number | 5033526080 |
| Mailing Telephone | 5033528642 |
| Mailing Fax Number | 5033528658 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2015-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003967720 | Sara Beth Edge | Nurse Practitioner | 910 W 5th Ave, Ste 510, Spokane, WA 99204 | 2007-01-16 |
| Street Address |
2935 SW CEDAR HILLS BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948276 | Jennifer Beckham Mcelravey | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2005-08-02 |
| 1245723287 | Jennifer Stanislaw | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 | 2018-06-13 |
| 1306336078 | Sarah Larimer | Dietitian, Registered | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-05-17 |
| 1700374527 | Monica Calko | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-26 |
| 1861980161 | Gayle Ollinger | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2018-04-23 |
| 1427560663 | Megan Manley | Physician Assistant | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2017-10-27 |
| 1649628751 | Margaret Sease | Family Medicine | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2016-05-31 |
| 1144628264 | Juan Gabriel Lopez | Pharmacist | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-12-06 |
| 1689092264 | Jason Dukmin Soh | Pediatrics | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-04-01 |
| 1538583471 | Joana Silva | Nurse Practitioner | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100339 | Alexander Deussen | Counselor | 4770 Sw 165th Ave, Beaverton, OR 97078-1922 | 2020-09-29 |
| 1073138145 | Therese Madden Rose | Counselor | 5965 Sw Menlo Dr Apt A211, Beaverton, OR 97005-4820 | 2020-06-14 |
| 1679130256 | Brittany Shannon Eide | Counselor | 4900 Sw Griffith Dr Ste 273, Beaverton, OR 97005-5607 | 2019-05-20 |
| 1881168474 | Lisa Bradfield | Counselor | 4555 Sw 142nd Ave Apt 4555sw, Beaverton, OR 97005-2534 | 2019-01-16 |
| 1578044608 | Tiffany C. Del Pozo | Counselor | 11950 Sw 2nd St, Beaverton, OR 97005-8923 | 2018-08-27 |
| 1225518202 | Heleen Woest | Counselor | 4145 Sw Watson Ave Ste 350, Beaverton, OR 97005-2191 | 2018-08-18 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1881105351 | Rebekah Springs | Counselor | 3800 Sw Cedar Hills Blvd Ste 120, Beaverton, OR 97005-4753 | 2017-10-23 |
| 1417479130 | Ruth Hescock | Counselor | 6700 Sw 105th Ave Ste 203, Beaverton, OR 97008-8824 | 2017-07-14 |
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| Find all providers in BEAVERTON | ||||
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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.