ERIK MICHAEL RASMUSSON (NPI# 1962655407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962655407 |
| Entity Type | Individual |
| Full Name | ERIK MICHAEL RASMUSSON |
| Practice Address |
912 Ne Kelly Ave Gresham OR 97030 |
| Mailing Address |
912 Ne Kelly Ave Gresham OR 97030-5629 |
| Practice Telephone | 5032584600 |
| Mailing Telephone | 5032584600 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | 2221097 | OR | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Ne Irving St, Suite 250, Portland, OR 972322243 | 5032334356 |
| Street Address |
912 NE KELLY AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645431 | Yamile J Correa | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-12-03 |
| 1780230615 | Paul Willis | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-08-15 |
| 1730641069 | Kyla Merino | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-04-04 |
| 1144780552 | Eric Lee Allen | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-21 |
| 1811457229 | Abigale Anne Mortensen | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-21 |
| 1447710850 | Shekinah Elizabeth Loconte | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-21 |
| 1588123046 | Brian Everett Stevenson | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-03-14 |
| 1639634249 | Kathryn E Allen | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-02-07 |
| 1083178917 | Maria Refugio Rodas Garcia | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-01-24 |
| 1982174827 | Devinity Larraine Robertson | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215403449 | Catherine Jones Counseling LLC | Counselor | 320 N Main Ave Ste 201c, Gresham, OR 97030-7242 | 2018-10-15 |
| 1710423058 | Marcella Lee | Counselor | 1294 Nw Wonderview Dr, Gresham, OR 97030-4995 | 2017-01-10 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1346610680 | Juliet Chandler | Counselor | 24050 Se Stark St Apt 502, Gresham, OR 97030-3167 | 2015-09-29 |
| 1841540788 | Justin Hull | Counselor | 818 Ne Division St, Gresham, OR 97030-3951 | 2012-09-19 |
| 1053939207 | Kelsey Nolan | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2020-07-13 |
| 1235798372 | Timothy Hadden | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2019-06-12 |
| 1427517234 | Bethaney Clark | Counselor | 123 E Powell Blvd Ste 303, Gresham, OR 97030-7620 | 2019-03-19 |
| 1649737115 | Kayla Dawn Smith | Counselor | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-02-21 |
| 1356810493 | Simona Vazquez-sartori | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2018-11-19 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on ERIK MICHAEL RASMUSSON.
| 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.