SUSAN ANN MUNGARRO (NPI# 1891186326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891186326 |
| Entity Type | Individual |
| Full Name | SUSAN ANN MUNGARRO |
| Practice Address |
215 North G Street Lakeview OR 97630 |
| Mailing Address |
215 N G St Lakeview OR 97630-1417 |
| Practice Telephone | 5419476021 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| 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 |
| Street Address |
215 NORTH G STREET |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| 1366462202 | Lake County Esd | Local Education Agency (LEA) | 357 N L St, Lakeview, OR 97630-1232 | 2006-07-21 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346419959 | Tina Ann Corey | Counselor | 706 S I St, Lakeview, OR 97630-1622 | 2008-02-27 |
| 1912102203 | Jacqueline Annette Peltier | Counselor | 250 S F St, Lakeview, OR 97630-1743 | 2007-06-18 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| 1609991702 | Kiyoka Watkins | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| 1689716607 | Robeson Health Care Corporation | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-1901 | 2007-02-13 |
| 1013937135 | Mary Margaret Thompson-leary | Counselor | 285 Camp Easter Rd., Lakeview, NC 28350 | 2006-07-20 |
| 1659844942 | Jacqueline Danielle Schuler | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2019-01-09 |
| 1417479304 | Patrick P Hornberger | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2017-07-12 |
| 1548385636 | Lynda Alexander | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| 1487779484 | Debra Kester | Counselor | 285 Camp Easter Road, Lakeview, NC 28350 | 2007-03-20 |
| Find all providers in LAKEVIEW | ||||
Please comment or provide details below to improve the information on SUSAN ANN MUNGARRO.
| 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.