DR. LAURA JANINE SHEPPARD (NPI# 1790977379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790977379 |
| Entity Type | Individual |
| Full Name | DR. LAURA JANINE SHEPPARD |
| Credential | MS, PSYD, LPC |
| Practice Address |
320 N. Main Suite 201 Gresham OR 97030-7429 |
| Mailing Address |
320 N. Main Street Suite 201-c Gresham OR 97030-7429 |
| Practice Telephone | 5034237951 |
| Mailing Telephone | 5034237951 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2010-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C2132 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869461 | Laura A Sheppard | Occupational Therapist | 3783 Friendsville Rd Unit 57, Wooster, OH 44691-7109 | 2018-01-25 |
| 1073998001 | Laura Sheppard | Speech-Language Pathologist | 4810 Gulfstream Dr, Dallas, TX 75244-7630 | 2015-07-20 |
| 1881738011 | Laura A Sheppard | Social Worker | 33 Highwood Rd, West Orange, NJ 07052-4012 | 2007-02-19 |
| Street Address |
320 N. MAIN SUITE 201 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044790 | Building Resiliency LLC | Counselor | 510 Ne Roberts Ave Ste 310, Gresham, OR 97030-7485 | 2017-03-13 |
| 1164882585 | Alan Wheatley | Counselor | 504 Se Myrtlewood Ln, Gresham, OR 97080-8165 | 2016-02-26 |
| 1013321967 | David J. Lowe | Counselor | 1890 Ne Cleveland Ave, Gresham, OR 97030-4210 | 2014-06-18 |
| 1932327293 | Hope Family Services | Counselor | 2710 Se 182nd Ave, Gresham, OR 97030-5013 | 2007-04-23 |
| 1457495954 | Marteen Jensen | Counselor | 510 Ne Roberts Ave Ste 350, Gresham, OR 97030-7486 | 2007-02-16 |
| 1891858890 | Alice Meree King | Counselor | 4101 Ne Division St Ste 100, Telecare Corp, Gresham, OR 97030-4617 | 2006-12-19 |
| 1639187099 | Ginna Alene Hoffman | Counselor | 2951 Nw Division St, Suite 200, Gresham, OR 97030-5292 | 2006-08-03 |
| 1104487412 | Center of Hope Counseling Services LLC | Counselor | 510 Ne Roberts Ave Ste 100, Gresham, OR 97030-7483 | 2019-06-26 |
| 1942708789 | Brandon Waupekenay | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| 1679071492 | Addie Mae Caldwell | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| Find all providers in GRESHAM | ||||
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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.