EDWARD ILDOE BAE (NPI# 1801226527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801226527 |
| Entity Type | Organization |
| Organization Name | EDWARD ILDOE BAE |
| Practice Address |
13755 Sw Farmington Rd Beaverton OR 97005-2603 |
| Practice Telephone | 5036463743 |
| Practice Fax Number | 5036465200 |
| Mailing Telephone | 5036463743 |
| Mailing Fax Number | 5036465200 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | EDWARD ILDOE BAE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5036463743 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC00115 | OR | Other Service Providers |
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
13755 SW FARMINGTON RD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-2603 |
| 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 | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869503 | Gelsca Desindia Morales Felix | Community Health Worker | 17371 Sw Vincent St, Beaverton, OR 97078-4752 | 2018-01-24 |
| 1902354467 | Carly Hardman | Community Health Worker | 11525 Sw Bel Aire Ln, Beaverton, OR 97008-5911 | 2016-09-13 |
| 1427500925 | Michelle Foss | Community Health Worker | 16985 Nw Cornell Rd Ste 110, Beaverton, OR 97006-5639 | 2016-10-31 |
| 1437491503 | Yolonda Palen | Community Health Worker | 14619 Sw Teal Blvd, Beaverton, OR 97007-6194 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285551 | Rebeca C Moreno | Community Health Worker | 315 4th Ave Sw Fl 2, Albany, OR 97321-2338 | 2020-11-06 |
| 1750989596 | Jazmin Ochoa Garibay | Community Health Worker | 580 Bethel Dr, Eugene, OR 97402-2507 | 2020-10-14 |
| 1972118149 | Aurora Ayon Mendoza | Community Health Worker | 9225 Se Division St Unit C, Portland, OR 97266-1490 | 2020-09-14 |
| 1598373870 | Innovative Health & Wellness LLC 2 | Community Health Worker | 2300 Humbug Creek Rd, Jacksonville, OR 97530-9617 | 2020-07-22 |
| 1356969042 | Renee Frye | Community Health Worker | 501 Main St Ste 301, Klamath Falls, OR 97601-6035 | 2020-07-08 |
| 1366066862 | Rhea Wolf | Community Health Worker | 18766 Se Stark St, Portland, OR 97233-5330 | 2020-06-01 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1679117022 | Juana Laura Damian Damian | Community Health Worker | 4373 Satter Pl Ne, Salem, OR 97305-4107 | 2019-10-29 |
| 1922569862 | Pernell Caroline Harris | Community Health Worker | 257 Sw Madison Ave, Corvallis, OR 97333-4757 | 2019-03-25 |
| 1164980629 | Deborah Morera | Community Health Worker | 257 Sw Madison Ave Ste 113, Corvallis, OR 97333-4757 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
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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.