MELANIE CLARK (NPI# 1952781403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952781403 |
| Entity Type | Individual |
| Full Name | MELANIE CLARK |
| Practice Address |
805 Se 151st Ave Portland OR 97233-2916 |
| Practice Telephone | 9712717270 |
| Mailing Telephone | 9713026046 |
| Mailing Fax Number | 9713026055 |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732465 | Melanie A Clark | Psychiatry & Neurology | 930 Southern Ave, Kalamazoo, MI 49001-4337 | 2015-02-11 |
| 1912276320 | Melanie J. Clark | Speech-Language Pathologist | 1 Avondale Ave, North Hornell School, Hornell, NY 14843-1001 | 2011-12-14 |
| 1114201795 | Melanie Jo Clark | Nurse Practitioner | 7926 Preston Highway, Suite 106, Louisville, KY 40219-3848 | 2011-09-30 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1376556621 | Melanie Clark | Counselor | 1904 Royal Ave, Monroe, LA 71201 | 2006-08-15 |
| 1376190595 | Melanie Clark | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2019-08-22 |
| 1841721511 | Melanie Patrice Clark | Counselor | 3730 Kirby Drive, Suite 904, Houston, TX 77098 | 2017-03-24 |
| 1306272687 | Melanie C Clark | Nurse Practitioner | 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | 2013-09-19 |
| 1689015075 | Melanie Dawn Clark | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2013-07-12 |
| 1225386139 | Melanie R Clark | Counselor | 603 Main St, Ashton, IL 61006-9230 | 2012-08-27 |
| Street Address |
805 SE 151ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134384688 | Jamie Deruyter | Counselor | 805 Se 151st Ave, Portland, OR 97233-2916 | 2008-07-24 |
| 1740895762 | Elisabeth Herzog | Case Manager/Care Coordinator | 805 Se 151st Ave, Portland, OR 97233-2916 | 2020-09-15 |
| 1255943106 | Katherine Colleen Pacheco | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2020-08-21 |
| 1346885019 | Timothy Sims | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-11-17 |
| 1629612411 | Shannon Marie Stronach | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-11-05 |
| 1477194330 | Daneen Pray | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-10-02 |
| 1639720998 | Paula Keyth | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-09-26 |
| 1376001792 | Jordan Alexander Niles | Case Manager/Care Coordinator | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-03-05 |
| 1619434743 | Joel T Kirkpatrick | Peer Specialist | 805 Se 151st Ave, Portland, OR 97233-2916 | 2019-02-25 |
| 1588132401 | Chase Steven Hardt | Psychiatric Residential Treatment Facility | 805 Se 151st Ave, Portland, OR 97233-2916 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699897785 | Andrea Renee Poore | Day Training/Habilitation Specialist | 310 E 7th St, Portland, IN 47371-2731 | 2007-04-06 |
| 1639215098 | Meredith R. Barton | Day Training/Habilitation Specialist | 119 Gleckler Rd, Portland, ME 04103-3487 | 2007-01-30 |
| 1306485446 | Ian Henderson | Day Training/Habilitation Specialist | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-01-06 |
| 1952654659 | Deborah Thomas | Day Training/Habilitation Specialist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692041 | Heidi Renoud | Day Training/Habilitation Specialist | 5050 Columbus St Se Unit 63, Albany, OR 97322-8017 | 2020-06-01 |
| 1033745724 | Sheryl Ann Swaisgood | Day Training/Habilitation Specialist | 754 W 4th Ave, Eugene, OR 97402-5025 | 2020-03-13 |
| 1144778432 | Linda Louise Lawson | Day Training/Habilitation Specialist | 115 10th Ave, Apt 8, Seaside, OR 97138-6237 | 2016-09-14 |
| 1437301165 | Gabriel Elihue Denison | Day Training/Habilitation Specialist | 17217 Kent Rd, Sisters, OR 97759-9301 | 2008-10-13 |
| 1790397818 | Connor O'shea | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-08-19 |
| 1578198867 | Hannah Grace Vaughan | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2020-03-06 |
| 1376186262 | Paige Mendoza | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2019-10-23 |
| 1962967042 | Nicole Lynn Herzog | Day Training/Habilitation Specialist | 2145 Centennial Plz, Eugene, OR 97401-2474 | 2019-02-04 |
| 1538631692 | Nicole Skye Shockley | Day Training/Habilitation Specialist | 625 Ne Galloway St, Mcminnville, OR 97128-3933 | 2018-12-28 |
| 1215326368 | Hilarie Catherine Hope | Day Training/Habilitation Specialist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2015-01-13 |
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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.