BRIAN MICHAEL THATCHER (NPI# 1073102869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073102869 |
| Entity Type | Individual |
| Full Name | BRIAN MICHAEL THATCHER |
| Gender | Male |
| Practice Address | Lifeworks Northwest, 14600 Nw Cornell Road Portland OR 97229-5442 |
| Practice Telephone | 5036453581 |
| Mailing Address | Lifeworks Northwest, 14600 Nw Cornell Road Portland OR 97229-5442 |
| Mailing Telephone | 5036453581 |
| Certification Date | 2021-01-04 |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405006 | Brian Michael Thatcher | 9083 Mentor Ave, Mentor, OH 44060-6462 | 2013-01-02 |
| Street Address | LIFEWORKS NORTHWEST, 14600 NW CORNELL ROAD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467408013 | Lifeworks Nw | Counselor · Mental Health | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2006-05-25 |
| 1104417591 | Alondra Orozco | Assistant Behavior Analyst | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-01-29 |
| 1720678576 | Alexa Durkin-Tang | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-01-25 |
| 1134718620 | Catherine Jh Hill | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-01-11 |
| 1144817586 | Jacquelle C Davis | Peer Specialist | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-12-30 |
| 1356946867 | Trina Mae Thomas | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-12-02 |
| 1992307391 | Cynthia Irene Shipley | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-11-10 |
| 1083213771 | Rebecca Saunders | Counselor · Mental Health | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
| 1225637986 | Nicholas David Carter | Student in an Organized Health Care Education/Training Program | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-22 |
| 1720686223 | Ruby Benner | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-10-15 |
| Find all providers in zip 97229-5442 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548858442 | Cady Mathews | Pharmacist | 24 Nw Lost Springs Terr #36, Portland, OR 97229 | 2021-01-06 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner · Family | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom · Jenny Lavonne Miller | Counselor · Mental Health | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves · Crystal L Mesillas | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| Find all providers in zip 97229 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760079503 | Nicolas Robert Fenton | 198 Concord St, Portland, ME 04103-3102 | 2020-12-28 | |
| 1588269815 | Ashley Bullie Koch | 2556 Nw Northrup St, Portland, OR 97210-2684 | 2020-12-03 | |
| 1215536602 | Dario J Lapoma | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 | |
| 1740888155 | Charles Samuel Goldfoot | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 | |
| 1396343992 | Shelby Taylor Bowerly | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 | |
| 1821696816 | Nancy Sierra Ferrer | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 | |
| 1437757663 | David Gallacher | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 | |
| 1366049777 | Carolyn Evans | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 | |
| 1669081659 | Amy Hill | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 | |
| 1558979468 | Elise Caitlin Esposito | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093195653 | Brian Emil Thatcher | Family Medicine | 1205 Health Center Pkwy Ste 100, Yukon, OK 73099 | 2015-06-08 |
| 1831455849 | Thatcher Unified School District #4 | Local Education Agency (LEA) | 3490 W Main St, Thatcher, AZ 85552-5713 | 2012-04-03 |
| 1952439838 | County of Graham · Thatcher Public Schools | Local Education Agency (LEA) | 3490 West Main Street, Thatcher, AZ 85552 | 2007-03-01 |
| 1902459720 | Brian Michael Griseto · Brian Michael Spevak | Behavior Technician | 780 Mcardle Dr Ste Abc, Crystal Lake, IL 60014-8155 | 2019-07-21 |
| 1003192444 | David Michael Thatcher | Counselor · Addiction (Substance Use Disorder) | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2011-10-31 |
| 1588784003 | Brian Michael Briggs · Brian Michael Dix | Chiropractor | 2977 W Broad St, Columbus, OH 43204-2650 | 2007-03-29 |
| 1063012888 | Michael Thatcher | Pharmacist | 3921 Benbrook Hwy, Fort Worth, TX 76116-7802 | 2020-10-30 |
| 1235381310 | Megan Louise Thatcher · Megan Thatcher Simpson | Dietitian, Registered | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2008-10-21 |
| 1518455922 | Melissa Linville-Thatcher · Melissa M Thatcher | Social Worker | 2564 W 12th St, Erie, PA 16505-4528 | 2018-05-01 |
| 1619318169 | Jane Patricia Thatcher · Patricia Thatcher | Social Worker · Clinical | 50 Dudley St, Cambridge, MA 02140-2404 | 2013-07-12 |
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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.