CORY SMITH (NPI# 1841650587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841650587 |
Entity Type | Individual |
Full Name | CORY SMITH |
Practice Address |
4117 Sw Vermont St Portland OR 97219-1016 |
Practice Telephone | 5412121035 |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |
Gender Code | M |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376902726 | Cory Smith | Specialist/Technologist | 8359 Yarrow Ln, Riverside, CA 92508-2923 | 2016-02-14 |
1336768464 | Cory Eugene Smith | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Ave Ste 447, Memphis, TN 38163-0001 | 2020-04-09 |
1790314086 | Cory Smith | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm S102, Stanford, CA 94305-2200 | 2020-04-07 |
1578100061 | Cory Smith | Case Manager/Care Coordinator | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-12-04 |
1922669712 | Cory Smith | Registered Nurse | 6001 E Broad St, Columbus, OH 43213-1502 | 2019-06-24 |
1154812477 | Cory Allan Smith | Anesthesiology | 301 University Blvd, Galveston, TX 77555-0877 | 2018-05-22 |
1386148278 | Cory Michael Smith | Pharmacist | 511 Knox St, Barbourville, KY 40906-1330 | 2018-03-23 |
1598288458 | Cory Smith | Pharmacist | 2301 Industrial Rd, Emporia, KS 66801-6656 | 2017-07-24 |
1700236643 | Cory Daniel Smith | Orthopaedic Surgery | 701 Grove Rd, 2nd Floor Support Tower, Greenville, SC 29605-4210 | 2016-06-21 |
1952797706 | Cory Smith | Pharmacist | 18631 W Kellogg Dr, Goddard, KS 67052-9221 | 2015-04-08 |
Street Address |
4117 SW VERMONT ST |
City | PORTLAND |
State | OR |
Zip Code | 97219-1016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
Find all providers in zip 97219 |
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.