ANTIONETTE GOLDEN (NPI# 1962860742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962860742 |
| Entity Type | Individual |
| Full Name | ANTIONETTE GOLDEN |
| Practice Address |
1945 Ne 205th Ave Fairview OR 97024-9622 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5036618050 |
| Practice Fax Number | 5034924651 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1945 NE 205TH AVE |
| City | FAIRVIEW |
| State | OR |
| Zip Code | 97024-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043410962 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2007-07-19 |
| 1760095277 | Michaela Lynette Rushing | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2020-08-25 |
| 1831678556 | Raquel L Graham | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2018-08-13 |
| 1225553027 | Clinton Stiffler | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2017-08-14 |
| 1508319476 | Susan Mihm | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-07-27 |
| 1598119174 | Angela Van Ecken | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-04-20 |
| 1144688920 | Sarah Bourgeois | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-02-08 |
| 1053779835 | Lisa Cordero | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-02-08 |
| 1871951657 | Sharel Highland | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-02-08 |
| 1780042564 | Edna Leed | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255792560 | Brent Labhart | Counselor | 17720 Ne Halsey, Fairview, OR 97024 | 2016-03-14 |
| 1720325954 | Glen R Edgerton | Internal Medicine | 3797 Ne Fairview Lake Way, Fairview, OR 97024 | 2013-01-08 |
| 1073657003 | Aoife O'sullivan | Family Medicine | Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 | 2007-02-15 |
| 1780240713 | Christie Ellen Thompson | Massage Therapist | 1659 Ne Market Drive, Fairview, OR 97024 | 2019-05-15 |
| 1003325531 | Daniel L Hubbell | Chiropractor | 1659 Ne Market Dr, Fairview, OR 97024 | 2017-09-27 |
| 1528338423 | Denise Irene Houck | Nurse Practitioner | 1800 Ne Market Drive, Fairview, OR 97024 | 2012-01-09 |
| 1467625632 | Lisa Camille Gibson | Registered Nurse | 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024 | 2008-04-09 |
| 1447624663 | Western Psychological and Counseling Services PC | Health Maintenance Organization | 22070 Ne Chinook Way, Fairview, OR 97024-2647 | 2015-11-26 |
| 1891815957 | Robert Craig Stassi I | Chiropractor | 1606 Ne 223rd Ave, Fairview, OR 97024-2662 | 2007-03-30 |
| 1811168925 | Laurie Anne Mcadam | Occupational Therapy Assistant | 100 Bridge St, Fairview, OR 97024-2666 | 2008-03-17 |
| Find all providers in zip 97024 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810821 | John P Meehan | Counselor | 21139 Lorain Rd 12, Fairview, OH 44126 | 2020-01-15 |
| 1184282493 | Frederick Shaun Hassler | Counselor | 275 Garren Creek Rd, Fairview, NC 28730-7605 | 2019-06-01 |
| 1538624879 | Blended Spirits Ranch | Counselor | 7401 Mccray Rd, Fairview, PA 16415-2401 | 2019-01-31 |
| 1013451947 | Stefanie Hallowell | Counselor | 2445 West 34th Street, Fairview, PA 16415 | 2016-12-12 |
| 1255792560 | Brent Labhart | Counselor | 17720 Ne Halsey, Fairview, OR 97024 | 2016-03-14 |
| 1265718811 | Laura S. Rand | Counselor | 126 Churchill Downs Dr, Fairview, NC 28730-9763 | 2011-10-27 |
| 1164742524 | Christine Phillips Westfeldt | Counselor | 98 Ivy Cove Rd, Fairview, NC 28730-8630 | 2010-06-08 |
| 1639319460 | William Scott Westel | Counselor | 49 Pheasant Ridge Rd, Fairview, NC 28730-8508 | 2009-03-06 |
| 1720298524 | Mary Kliewer | Counselor | 1425 N. Main, Suite 1, Fairview, OK 73737 | 2007-05-23 |
| 1194862839 | Tammy Marie Lundbom | Counselor | 2714 Ne 205th Ave Apt 228, Fairview, OR 97024-9649 | 2007-01-31 |
| Find all providers in FAIRVIEW | ||||
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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.