THOMAS GODFREY (NPI# 1962955641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962955641 |
| Entity Type | Individual |
| Full Name | THOMAS GODFREY |
| Practice Address |
12725 Sw 66th Ave Ste 107 Portland OR 97223-2546 |
| Mailing Address |
5200 S Highland Dr Ste 200 Holladay UT 84117-7003 |
| Practice Telephone | 5034307699 |
| Practice Fax Number | 5034308374 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407948920 | Thomas Godfrey | Dentist | 3401 Northside Pkwy Nw, Atlanta, GA 30327-2323 | 2006-09-29 |
| 1235632878 | Thomas Godfrey | Chiropractor | 2790 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-3997 | 2018-03-09 |
| 1235543281 | Thomas Dale Godfrey | Nurse Practitioner | 877 W Faris Rd, Suite B, Greenville, SC 29605-4289 | 2014-06-18 |
| 1063844710 | Thomas Hansen Godfrey | Dentist | 1580 E Desert Inn Rd, Las Vegas, NV 89169-2548 | 2013-08-05 |
| 1700172624 | Thomas Godfrey | Social Worker | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2011-06-20 |
| 1750327243 | Thomas E Godfrey | Internal Medicine | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2006-06-21 |
| Street Address |
12725 SW 66TH AVE STE 107 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1184021321 | Western Health Resources | Hospice Care, Community Based | 5835 Ne 122nd Ave Ste 135, Portland, OR 97230-1083 | 2014-12-03 |
| 1669891032 | Seasons Hospice & Palliative Care of Oregon, LLC | Hospice Care, Community Based | 6500 Sw Macadam Ave, Ste 160, Portland, OR 97239-3565 | 2014-04-14 |
| 1598925729 | Hospice of Darke County, Inc | Hospice Care, Community Based | 1237 W Sr 67, Portland, IN 47371-1344 | 2008-06-11 |
| 1699778720 | Hospice Care of The Northwest, LLC. | Hospice Care, Community Based | 6130 Ne 78th Ct Ste C10, Portland, OR 97218-4800 | 2005-05-23 |
| 1720601693 | New Century Hospice Delaware LLC | Hospice Care, Community Based | 53 Baxter Blvd, Portland, ME 04101-1827 | 2020-05-26 |
| 1174051668 | Housecall Providers Services, LLC | Hospice Care, Community Based | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2017-05-26 |
| 1871972224 | Connected Healthcare, Inc. | Hospice Care, Community Based | 7515 Ne Ambassador Pl, Suite C, Portland, OR 97220-1379 | 2015-05-19 |
| 1447686902 | Agape Hospice Care, Inc. | Hospice Care, Community Based | 9900 Sw Wilshire St, Suite 170, Portland, OR 97225-5035 | 2013-09-16 |
| Find all providers in PORTLAND | ||||
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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.