MS. PHYLLIS MARCIA CRONIN (NPI# 1851603971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851603971 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS MARCIA CRONIN |
| Credential | MS, RN, CNS |
| Practice Address |
6525 Ne. Mallory Avenue Portland OR 97211-2421 |
| Mailing Address |
6525 N.e Mallory Avenue Portland OR 97211 |
| Practice Telephone | 5032891242 |
| Mailing Telephone | 5032891242 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
200370015 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6525 NE. MALLORY AVENUE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779710 | Beth Leslie Schurman | Clinical Nurse Specialist | 105 Beverly Street, Portland, ME 04103 | 2006-10-04 |
| 1023566015 | Caitlin Margitan | Clinical Nurse Specialist | 847 Ne 19th Ave Suite 100, Portland, OR 97232-2684 | 2016-09-19 |
| 1316186851 | Mary Catherine King | Clinical Nurse Specialist | 9155 Sw Barnes Rd, Suite 418, Portland, OR 97225-6625 | 2009-02-06 |
| 1134371859 | Sarah Parshley | Clinical Nurse Specialist | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-2941 | 2008-10-13 |
| 1376734392 | 'alice Louise Kamm | Clinical Nurse Specialist | 2133 Ne Broadway, Portland, OR 97232-1878 | 2007-08-06 |
| 1215071253 | Nancy Davis Hodges | Clinical Nurse Specialist | 1130 Sw Morrison St, Suite 619, Portland, OR 97205-2234 | 2007-02-15 |
| 1518058601 | Jo Ann Ann Palmacci | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-09-27 |
| 1962512301 | Jeanne Miles Mullen | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-08-30 |
| 1003826371 | Linda Harmon Jacobson | Clinical Nurse Specialist | 216 Vaughan St, Portland, ME 04102-3204 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1861590036 | Wendy Hill Park | Clinical Nurse Specialist | 1892 Willamette St, Eugene, OR 97401-4044 | 2006-09-20 |
| 1316146624 | James Joseph Devaney | Clinical Nurse Specialist | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2007-07-16 |
| 1467575571 | Harley G Klein | Clinical Nurse Specialist | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-04-06 |
| 1730233529 | Shelby Ann Sanford | Clinical Nurse Specialist | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2007-01-22 |
Please comment or provide details below to improve the information on MS. PHYLLIS MARCIA CRONIN.
| 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.