KATIRINA GUANCIALE (NPI# 1841808896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841808896 |
Entity Type | Individual |
Full Name | KATIRINA GUANCIALE |
Practice Address |
9115 Sw Oleson Rd Portland OR 97223-6875 |
Mailing Address |
14615 Sw Quail Ln Apt M102 Beaverton OR 97007-7668 |
Practice Telephone | 8779106538 |
Mailing Telephone | 8438457832 |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
Street Address |
9115 SW OLESON RD |
City | PORTLAND |
State | OR |
Zip Code | 97223-6875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811383482 | Wesley Gesinger | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2015-04-10 |
1619583622 | Alexander Kayhani | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-09-16 |
1861000523 | Alyssa Joy Libak | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-07-20 |
1194358374 | Sidney Suzanne Poet | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2020-02-17 |
1992335772 | Megan Martinez | Behavioral Analyst | 9115 Sw Oleson Rd, 100, Portland, OR 97223-6875 | 2020-01-22 |
1306484126 | Jessie Aisha Kaleikau | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-12-11 |
1598308264 | Jasmine Marie Huus-petersen | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-10-24 |
1376191403 | Haley Dixon | Behavior Technician | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-09-02 |
1831742568 | Aidan N Roderick | Behavior Technician | 9115 Sw Oleson Rd, Ste 100, Portland, OR 97223 | 2019-07-22 |
1144783853 | Pitchayatorn Sarasmut | Assistant Behavior Analyst | 9115 Sw Oleson Rd, Portland, OR 97223-6875 | 2019-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
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Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487143129 | Angelina Lucretia Anderson | Specialist/Technologist, Other | 191 Ne Grand Ave, Portland, OR 97232-2936 | 2018-05-08 |
1760856231 | Clifton A. J. Edwards | Specialist/Technologist, Other | 3347 Ne 164th Loop, Portland, OR 97230-5063 | 2015-11-21 |
1851753081 | Kelly Loggan | Specialist/Technologist, Other | 2080 Se Oak Grove Blvd, Suite 7, Portland, OR 97267-2657 | 2016-03-26 |
1225459589 | Victoria Faith Turek | Specialist/Technologist, Other | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306496732 | Grady Paul Bunce | Specialist/Technologist, Other | 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 | 2019-09-17 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1639525140 | Molly Ballew | Specialist/Technologist, Other | 295 E Main, Suite 10, Ashland, OR 97520-0020 | 2016-05-13 |
1114373735 | Ayako Shimba | Specialist/Technologist, Other | 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 | 2016-05-12 |
1285091009 | Bryon Willson | Specialist/Technologist, Other | 3350 Sw 198th Ave, Beaverton, OR 97003-2348 | 2016-01-25 |
1497183362 | Faith Tavares Pinkerton | Specialist/Technologist, Other | 61383 Hwy 97, Suite B, Bend, OR 97702-2597 | 2013-10-31 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1285861609 | Maruska Lynch | Specialist/Technologist, Other | 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 | 2009-06-11 |
1942454400 | Valerie Jane Hefner | Specialist/Technologist, Other | 1949 Ne Lotus Dr, Bend, OR 97701-6127 | 2008-11-11 |
1043461189 | Michael A Isleman | Specialist/Technologist, Other | 7137 Sw Sagert St, Tualatin, OR 97062-8297 | 2008-10-07 |
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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.