MICHELLE FARRAKHAN (NPI# 1790015329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790015329 |
| Entity Type | Individual |
| Full Name | MICHELLE FARRAKHAN |
| Practice Address |
3034 Ne Martin Luther King Jr Blvd Portland OR 97212-3053 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032833763 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3034 NE MARTIN LUTHER KING JR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093843310 | Jim Hlava | Social Worker | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2007-02-28 |
| 1073923538 | Reginald Brown | Counselor | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2014-05-05 |
| 1679833586 | Charles Dwight Hannah | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2012-05-24 |
| 1487928073 | Sara Cooke Mannino | Counselor | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2012-02-29 |
| 1124398037 | Keeble Cary Jed Giscombe | Counselor | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2012-01-09 |
| 1740562826 | Catherine Veaudry Reid | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2011-09-14 |
| 1396027496 | Marty Allison Savell | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2011-09-14 |
| 1891084570 | Quisha Marie Wesley | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2011-04-01 |
| 1427354117 | Elizabeth Annette Pierce | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2011-01-28 |
| 1568767564 | Royal Harris | Case Manager/Care Coordinator | 3034 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2011-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 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.