MS. ERIN ELIZABETH WILSON (NPI# 1972999852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972999852 |
| Entity Type | Individual |
| Full Name | MS. ERIN ELIZABETH WILSON |
| Practice Address |
15602 Se Division St Portland OR 97236-2002 |
| Mailing Address |
1027 E Burnside St Portland OR 97214-1328 |
| Practice Telephone | 5037622530 |
| Practice Fax Number | 5032546396 |
| Mailing Telephone | 5032398400 |
| Mailing Fax Number | 5032398407 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275072126 | Erin Wilson | Social Worker | 8987 E Tanque Verde Rd Ste 309-1030, Tucson, AZ 85749-9610 | 2017-02-13 |
| 1497115117 | Erin Riley Wilson | Dentist | 707 E Mill Rd Ste 101, Vineyard, UT 84059-5732 | 2016-02-24 |
| 1548652712 | Erin Wilson | Doula | 4707 Newport Ave, San Diego, CA 92107-2204 | 2015-02-25 |
| 1548526338 | Erin Ann Wilson | Physical Therapy Assistant | 208 Meadow Edge Ct., Reno, NV 89502 | 2012-04-05 |
| 1245509868 | Erin Elizabeth Wilson | Social Worker | 3130 Sw Munson Ave, Topeka, KS 66604-1631 | 2011-12-28 |
| 1679890073 | Erin Lee Wilson | Massage Therapist | 403 Floral Ct, Batesville, IN 47006-4300 | 2010-04-23 |
| 1518105550 | Erin A Wilson | Speech-Language Pathologist | 14429 77th Ave, Flushing, NY 11367-3129 | 2009-01-29 |
| 1720617434 | Erin Wilson | Orthopaedic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-04 |
| 1265079214 | Erin Wilson | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2019-12-09 |
| 1740821594 | Erin Wilson | Counselor | 710 11th Ave Ste L46, Greeley, CO 80631-3171 | 2019-10-03 |
| Street Address |
15602 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023154671 | Molly Elizabeth Lindsay | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2007-01-30 |
| 1134781008 | Marti Anne Gilman | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2019-07-01 |
| 1790346450 | Elana Stein | Counselor | 15602 Se Division St, Portland, OR 97236 | 2019-06-24 |
| 1336617232 | Ashley Martin | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2018-11-08 |
| 1619450459 | Samantha Marie Fitzgerald | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2018-09-07 |
| 1952814915 | Jennifer Lacy Sandoval | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
| 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.