ANDREW WIENCKEN


Address: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960
Phone: 5035941773

ANDREW WIENCKEN (NPI# 1932513884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932513884
Entity Type Individual
Full Name ANDREW WIENCKEN
Practice Address 17070 Se Mcloughlin Blvd
Milwaukie
OR 97267-4960
Mailing Address 14600 Nw Cornell Rd, Portl
Is The Cedar Mill Address -
Portland
OR 97229
Practice Telephone 5035941773
Enumeration Date 2014-06-19
Last Update Date 2014-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 17070 SE MCLOUGHLIN BLVD
City MILWAUKIE
State OR
Zip Code 97267-4960

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376599910 Randall Fryer Family Medicine 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2006-05-25
1477151447 Beth Lindsay Julen Registered Nurse 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2020-10-13
1184241721 Cascadia Behavioral Healthcare Inc Nurse Practitioner 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2020-06-30
1568980258 Colin Tardif Counselor 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2017-09-01
1962953471 Brian Long Counselor 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 2016-10-19
1962959544 Braydon Robbins Counselor 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2016-09-01
1932556230 Everett Mccown Counselor 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2016-05-17
1770960437 Caleb Fisher Social Worker 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2015-05-01
1003206525 Lindsay Young Counselor 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2015-02-04
1083038434 Krista Creevan Case Manager/Care Coordinator 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 2014-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851911036 Michelle Renee Gilham Massage Therapist 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 2020-04-17
1629557442 Benchmark Physical Therapy of Or, LLC Occupational Therapist 14874 Se Webster Rd, Milwaukie, OR 97267 2018-08-13
1326541764 Theresa Elaine Day Massage Therapist 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 2018-03-12
1881015378 Kathryn Louise Engstrom Registered Nurse 6901 Se Lake Road, Portland, OR 97267 2013-12-30
1285951293 Eliza Ann Rowley Acupuncturist 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 2010-04-29
1346438124 Rx Direct Inc Pharmacy 16246 Se Mcloughlin, Milwaukie, OR 97267 2007-10-05
1477740827 Olson Drug, Inc Durable Medical Equipment & Medical Supplies 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 2007-10-01
1831308451 Jeannie Marie Baer Massage Therapist 16705 Se Mcloughlin, Milwaukie, OR 97267 2007-05-21
1902923667 Matthew William Krueger Specialist/Technologist 4950 Se Roethe Rd., Milwaukie, OR 97267 2007-03-26
1316084049 Renee' Lorena Raschke Counselor 17070se Mcloughlin Blvd., Milwaukie, OR 97267 2007-01-31
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689158917 Eric Hanneman Counselor 6769 Se Plum Dr, Milwaukie, OR 97222-2011 2018-09-22
1477062602 Karie Marie Buss Counselor 2323 Se Harrison St Apt 41, Milwaukie, OR 97222-7584 2017-09-19
1538516307 Brian Nelson Counselor 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 2016-05-20
1235535097 Collin Bryant Wright Counselor 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 2014-11-06
1780996256 Michael Joseph Pohl Counselor 14603 Se Woodland Way, Milwaukie, OR 97267-1339 2010-07-13
1720399413 Barbara M Corkrean Counselor 16239 Se Mcloughlin Blvd Ste 208, Milwaukie, OR 97267-4654 2010-06-28
1225252612 Benjamin D Randolph Counselor 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 2007-04-13
1669519484 Helen R Ware Counselor 9000 Se Mcbrod Ave, Milwaukie, OR 97222-7336 2007-01-31
1316084049 Renee' Lorena Raschke Counselor 17070se Mcloughlin Blvd., Milwaukie, OR 97267 2007-01-31
1982770905 Molly Gordon-schnacky Counselor 8627 Se 28th Pl, Milwaukie, OR 97222-6311 2006-11-28
Find all providers in MILWAUKIE

Competitor

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City MILWAUKIE
Zip Code 97267

Improve Information

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Dataset Information

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.

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