KELLEY RUTH GIROUARD (NPI# 1225622293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225622293 |
| Entity Type | Individual |
| Full Name | KELLEY RUTH GIROUARD |
| Gender | Female |
| Credential | PA-S |
| Practice Address | 2730 S Moody Ave Portland OR 97201-5042 |
| Practice Telephone | 5034943633 |
| Mailing Address | 2730 S Moody Ave Portland OR 97201-5042 |
| Certification Date | 2021-02-21 |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
| Street Address | 2730 S MOODY AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972198455 | Gina Michele Castanares | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-03-05 |
| 1740874981 | Anna Ayala | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-28 |
| 1952995144 | Morgan Einwaller | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-27 |
| 1043804206 | Sean Patrick Conley | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-26 |
| 1376137687 | Mackenzie Carstens | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-26 |
| 1255925921 | Karleigh Taylor | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-23 |
| 1275127979 | Lilian Renata Bornio Carrillo | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-23 |
| 1538753272 | Esther Maccratic | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-23 |
| 1952995771 | Emily Noelle Reed | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-23 |
| 1346834363 | Brandon Colwell | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-22 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943116 | Yves Gacinya | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-13 |
| 1427670660 | Claudemir Da Silva Lima | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-11 |
| 1639791726 | An Ruan | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-11 |
| 1437771904 | Lucia Novak | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-07 |
| 1881215358 | Donald Alfred Defrang II | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-06 |
| 1992326573 | Mirah-Aizza Galuego | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-05 |
| 1063033819 | Kelsey Moore | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1164043972 | Andrew Henderson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1225659006 | Thomas Peckenham-Hernandez | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-03 |
| 1740801539 | Lema Safi | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201-5042 | 2020-05-03 |
| Find all providers in zip 97201-5042 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760079438 | Heidi Elizabeth Grompe Vancampen · Heidi Elizabeth Grompe | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Ohsu, Portland, OR 97201 | 2020-12-28 |
| 1285241232 | Marney Johnson | Naturopath | 3025 S Corbett Ave, Portland, OR 97201 | 2020-09-24 |
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1245851120 | Timothy Scott Ulleseit | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-05-01 |
| 1487275442 | Erin Aleen Ostlie-Madden · Erin Aleen Madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner · Psychiatric/Mental Health | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1154969616 | Emily Renee Spiess | Specialist/Technologist · Athletic Trainer | 930 Sw Hall St, Portland, OR 97201 | 2019-12-16 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780249193 | Ashleigh Dietz | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Mail Code: Cl5pa, Portland, OR 97201 | 2019-05-01 |
| Find all providers in zip 97201 | ||||
| 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 |
|---|---|---|---|---|
| 1215522784 | Talisa L Sutherland | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-03-05 | |
| 1437744901 | Jeff Rodgers | 5415 Sw Westgate Dr, Portland, OR 97221-2409 | 2021-03-05 | |
| 1588259071 | Darren Ramcharan | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-03-05 | |
| 1972198455 | Gina Michele Castanares | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-03-05 | |
| 1679168538 | Marija Jozic | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2021-03-03 | |
| 1720673577 | Jacqueline Marie Russell | 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | 2021-03-03 | |
| 1508450727 | Jason M. Irish | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2021-02-28 | |
| 1740874981 | Anna Ayala | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-28 | |
| 1952995144 | Morgan Einwaller | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-27 | |
| 1043804206 | Sean Patrick Conley | 2730 S Moody Ave, Portland, OR 97201-5042 | 2021-02-26 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588931208 | Kelley Ruth Rogers · Kelley Ruth Meadows | Occupational Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2011-11-23 |
| 1770772196 | Annaruth Kelley Urbonowicz · Anna Ruth Kelley | Pediatrics | 1792 Merritt Blvd, Dundalk, MD 21222 | 2007-10-22 |
| 1477011997 | Tamara Ann Kelley | Counselor · Addiction (Substance Use Disorder) | 1055 Ruth St Ste 8a, Prescott, AZ 86301-1740 | 2019-03-04 |
| 1881842771 | Ruth Kelley | Technician, Other | Rr 1 Box 55, Claylick Road, Ripley, WV 25271-9709 | 2008-09-04 |
| 1780678748 | Jennifer Ruth Kelley | Dentist · General Practice | 89 North St, Granville, NY 12832-1138 | 2005-09-07 |
| 1265697684 | Mary-Ann Ruth Kelley | Counselor | 2806 Douglas Ave, Bellingham, WA 98225-6930 | 2008-07-24 |
| 1164518940 | Colleen Ruth Kelley | Counselor · Mental Health | 564 Ne Ravenna Blvd, Seattle, WA 98115 | 2006-10-05 |
| 1730376419 | Tara Ruth Kelley | Counselor · Mental Health | 2358 Silversides Loop, Pensacola, FL 32526-1565 | 2007-09-26 |
| 1629470901 | Kelley Grace Ruth | Speech-Language Pathologist | 1720 Fallen Acorn Ct, Murfreesboro, TN 37129-3649 | 2014-09-18 |
| 1760725543 | Lauren Kelley Kelley · Lauren Kelley Acton | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612 | 2013-03-31 |
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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.