BRENDA BACKHAUS (NPI# 1982124970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982124970 |
| Entity Type | Individual |
| Full Name | BRENDA BACKHAUS |
| Credential | RN |
| Practice Address |
5935 Sladen Ave Gladstone OR 97027-1952 |
| Practice Telephone | (503) 740-5935 |
| Practice Fax Number | 5032120175 |
| Mailing Telephone | 5037405935 |
| Mailing Fax Number | 5032120175 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
200240922RN | OR | Nursing Service Providers |
| Street Address |
5935 SLADEN AVE |
| City | GLADSTONE |
| State | OR |
| Zip Code | 97027-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
| 1376036764 | Gladstone Smiles Dentistry PC | Dentist | 20140 Mcloughlin Blvd, Gladstone, OR 97027 | 2018-06-11 |
| 1194111344 | Kacey Danyelle Dahmen | Behavioral Analyst | 890 Se 82nd Drive, Gladstone, OR 97027 | 2015-04-14 |
| 1255738092 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 870 Se 82nd, Gladstone, OR 97027 | 2014-11-21 |
| 1548678097 | James Lee Briscoe | Counselor | 870 Se 82nd Dr., Bldg. C, Gladstone, OR 97027 | 2014-07-29 |
| 1003164690 | Chloe Elizabeth Lee-zorn | Psychologist | 890 Se 82nd, Gladstone, OR 97027 | 2012-08-29 |
| 1700187408 | Leonard Cogan | Counselor | 887 82nd Dr, Bldg C, Gladstone, OR 97027 | 2010-11-11 |
| 1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
| 1093971640 | Western Psychological and Counseling Services PC | Counselor | 9670 Sw Beaverton-hillsdale Hwy, Beaverton, OR 97027 | 2008-08-04 |
| 1578606935 | Myron John Welbes | Counselor | 17663 Se 82nd Drive, Gladstone, OR 97027 | 2007-02-15 |
| Find all providers in zip 97027 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181313 | Silvia Maciel | Registered Nurse | 1151 May St Ste 201, Hood River, OR 97031-1526 | 2019-12-19 |
| 1568906550 | Nancy Jane Spiegel | Registered Nurse | 13925 Sw Bonnie Brae Ct, Beaverton, OR 97005-4320 | 2016-12-08 |
| 1356707624 | Timothy Lee Unger | Registered Nurse | 3785 Se 317th Ave, Troutdale, OR 97060-9401 | 2016-01-02 |
| 1376888479 | Jill Marie Riffe | Registered Nurse | 10633 Se Flavel St, Portland, OR 97266-6026 | 2012-11-30 |
| 1124319306 | Julie Ann Brown | Registered Nurse | 2765 Sw 24th St, Gresham, OR 97080-5207 | 2011-04-22 |
| 1922215698 | Ellen G. Frichette | Registered Nurse | 1339 Ne Ford St, Mcminnville, OR 97128-3634 | 2007-05-16 |
| 1942256730 | Elaine Marian Hooper | Registered Nurse | 385 Ranch Road, Reedsport, OR 97467 | 2006-05-25 |
| 1285698555 | Jacqualine M Terrill Cooke | Registered Nurse | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2006-04-13 |
| 1083693295 | Sharon Dixie Mcconnell | Registered Nurse | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2006-01-16 |
| 1831183326 | Warren Thomas Roseland Jr. | Registered Nurse | 2225 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1650 | 2005-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRENDA BACKHAUS.
| 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.