LILLIAN MAE HERBERT (NPI# 1831239771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831239771 |
Entity Type | Individual |
Full Name | LILLIAN MAE HERBERT |
Practice Address |
326 Se 76th Ave Portland OR 97215-1468 |
Practice Telephone | 5033348463 |
Mailing Telephone | 5033348463 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2010-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
N | 372600000X | Adult Companion | Nursing Service Related Providers |
Street Address |
326 SE 76TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97215-1468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669541058 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 326 Se 76th Ave, Portland, OR 97215-1468 | 2006-11-07 |
1124440920 | Heather Ford | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-13 |
1104248236 | Peggy Surfus | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2014-01-08 |
1508103342 | Marta Buechler | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2013-01-14 |
1700144144 | James Abel Justice | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2012-04-23 |
1023395282 | Tomas John Wildenborg | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-11-15 |
1376838417 | Lael Stephanie Gordon | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-06-16 |
1780982454 | Laroy William Lackey | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2011-03-04 |
1497084461 | Nicholas Maier | Adult Companion | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-12-21 |
1346489770 | Dayna Ann Stierley | Counselor | 326 Se 76th Ave, Portland, OR 97215-1468 | 2009-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
Find all providers in zip 97215 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033088 | Palms Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 | 2020-11-06 |
1194340646 | Veritas Care of Maine Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 570 Brighton Ave Ste 2, Portland, ME 04102-2355 | 2020-06-10 |
1790321578 | Supportive Partnerships | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Fellows St, Portland, ME 04103-2414 | 2019-11-26 |
1437792199 | Atlantic Community Support LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 75 Bishop St Ste 13, Portland, ME 04103-2614 | 2019-10-24 |
1396390811 | Golden Group Home Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 40 Bernard Rd, Portland, ME 04103-3611 | 2019-08-02 |
1518022763 | Granite Bay Care, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1037 Forest Ave, Portland, ME 04103-3396 | 2006-12-27 |
1700407665 | Hope Family Partners LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2020-05-01 |
1780043802 | Stults House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Se 151st Ave, Portland, OR 97233-2916 | 2016-02-17 |
1770722902 | Maine Resource Development Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Lincoln St, Portland, ME 04103-4408 | 2009-02-11 |
1295994804 | Spurwink Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 899 Riverside St, Portland, ME 04103-1070 | 2008-06-09 |
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.