LINDA G KRENTZ (NPI# 1881791515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881791515 |
Entity Type | Individual |
Full Name | LINDA G KRENTZ |
Credential | PMHNP |
Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
Mailing Address |
4855 Sw Western Ave Beaverton OR 97005-3499 |
Practice Telephone | 5036437565 |
Mailing Telephone | 5032493434 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2007-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
OR 079032024N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4855 SW WESTERN AVE |
City | BEAVERTON |
State | OR |
Zip Code | 97005-3460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
1285142802 | Tiffani O'neill | Counselor | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-01-17 |
1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
Find all providers in the same location |
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 | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851603476 | Michelle Hardenbrook | Nurse Practitioner | 4800 Sw Griffith Dr Ste 104, Beaverton, OR 97005-8700 | 2010-07-12 |
1033379235 | Sherry Diane Davidson | Nurse Practitioner | 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 | 2008-06-11 |
1720292915 | Raymond Anthony Pienczykowski Jr. | Nurse Practitioner | 1975 Nw 167th Pl, 6, Beaverton, OR 97006-4908 | 2007-05-09 |
1891800108 | Marianne Kandel | Nurse Practitioner | 3811-b Sw Hall Blvd, Beaverton, OR 97005-2041 | 2006-08-20 |
1124680699 | Mah Psychiatric Services, Inc. | Nurse Practitioner | 4800 Sw Griffith Dr Ste 104, Beaverton, OR 97005-8700 | 2019-07-03 |
1396872032 | Heidi Louise Hart | Nurse Practitioner | 15455 Nw Greenbrier Pkwy, Suite 240, Beaverton, OR 97006-7374 | 2007-02-28 |
1245379650 | Christine Lynn Mccambridge | Nurse Practitioner | 9700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3306 | 2007-02-05 |
1306947726 | Yoonhui Choe | Nurse Practitioner | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2006-09-26 |
1558384362 | Leslie J Myers | Nurse Practitioner | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2006-07-25 |
1871516773 | Glenda A Peterson | Nurse Practitioner | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2006-07-25 |
Find all providers in BEAVERTON |
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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.