RAM CLINIC INC. (NPI# 1992897193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992897193 |
| Entity Type | Organization |
| Organization Name | RAM CLINIC INC. |
| Practice Address |
3610 Ne 82nd Ave Portland OR 97220-5120 |
| Practice Telephone | 5034089585 |
| Practice Fax Number | 5034089456 |
| Mailing Telephone | 5034089585 |
| Mailing Fax Number | 5034089456 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VICCIE BOECKEL (DIRECTOR/OWNER) |
| Authorized Official Telephone | 5034089585 |
| Authorized Official Credential | CDAC2 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OMAP | 170140 | 01 |
| Street Address |
3610 NE 82ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477045128 | Judy B Hickey | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-05-30 |
| 1285134593 | Daniel Wayne Berryman | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-02-14 |
| 1851808562 | Integrated Health Clinics Ne LLC | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-01-03 |
| 1629513254 | Barbara Mitzkowski | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2017-01-06 |
| 1598200289 | Melissa Harshman | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2017-01-04 |
| 1316480940 | Viccie Boeckel | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2016-11-30 |
| 1184167827 | Harrison Danley | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2016-11-29 |
| 1811430622 | Jacqueline Mobley | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2016-11-28 |
| 1508992678 | Elnathan Hudson | Counselor | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808562 | Integrated Health Clinics Ne LLC | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-01-03 |
| 1912233826 | Merrimack River Medical Services | Clinic/Center | 2300 Congress St, Portland, ME 04102-1908 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386706919 | Marion County | Clinic/Center | 2045 Silverton Rd Ne, Salem, OR 97301-0100 | 2006-12-13 |
| 1427397074 | Crc Health Oregon, LLC | Clinic/Center | 1160 Liberty St Se, Salem, OR 97302 | 2013-02-01 |
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
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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.