CHARLENE DENISE ALBIN
CHARLENE DENISE JONES · Peer Specialist

Address: 1312 Sw Wahington St, Portland, OR 97208

CHARLENE DENISE ALBIN (NPI# 1295321594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295321594
Entity Type Individual
Full Name MRS. CHARLENE DENISE ALBIN
Other Name MRS. CHARLENE DENISE JONES (Professional Name)
Gender Female
Credential HEALTHCARE PROVIDER
Practice Address 1312 Sw Wahington St
Portland
OR 97208
Practice Telephone 5035351150
Mailing Address Po Box 3007
Portland
OR 97208-3007
Mailing Telephone 5035351150
Certification Date 2020-12-14
Enumeration Date 2020-12-21
Last Update Date 2020-12-21
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1312 SW WAHINGTON ST
City PORTLAND
State OR
Zip Code 97208

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1194037283 De Paul Treatment Centers Substance Abuse Rehabilitation Facility 1312 Sw Washington St., Portland, OR 97208 2010-07-06
1063743847 Jacqueline Mendro Counselor · Addiction (Substance Use Disorder) 1312 Sw Washington, Portland, OR 97208 2010-01-19
1205960432 Sean Donahue Counselor · Addiction (Substance Use Disorder) 1312 Sw Washington Street, Portland, OR 97208 2007-03-16
1831536531 Premiercare Anesthesia Fountain Valley Inc Anesthesiology 17100 Euclid St., Fountain Valley, CA 97208 2013-06-04
1700916509 Franklin Owen Black · F Owen Black Otolaryngology · Otology & Neurotology 1225 Ne 2nd Ave, Suite 305, Portland, OR 97208 2007-03-07
1548602774 William Thomas Ryan Meristem Counselor · Addiction (Substance Use Disorder) De Paul Treatment Centers, 1312 Sw Washington, Portland, OR 97208-3007 2013-07-30
1871727370 Andrew Gadbois Counselor · Addiction (Substance Use Disorder) 4310 Ne Killingsworth St., Portland, OR 97208-3007 2009-05-12
1477912780 Dorothy Stefanello Peer Specialist 1312 Sw Washington Street, Portland, OR 97208-3007 2016-02-15
1538531611 Caitlin Lerch Counselor · Addiction (Substance Use Disorder) 1312 Sw Washington Street, Portland, OR 97208-3007 2015-10-28
1396186607 Richard Ivan Vaughan Substance Abuse Rehabilitation Facility · Substance Abuse Treatment, Children 4310 Ne Killingsworth St, Portland, OR 97208-3007 2013-07-15
Find all providers in zip 97208

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1538773155 Mamie Nzigire Zagabe 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1245896307 Anthony James Hardy 10336 Ne Wygant St, Portland, OR 97220-3368 2019-05-14
1881155596 Laray Jermaine Thomas 11509 Se Stephens St, Portland, OR 97216-3660 2019-03-26
1932684248 Dorothy Joanna Burton 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 2018-10-02
1750886255 Steven Wade 4512 Ne Portland Hwy, Portland, OR 97218-1363 2018-03-27
1669991212 Kimberly Jaye Randall 17214 Se Division St Ste 2, Portland, OR 97236-1282 2017-09-14
1689103897 Walter Bulter 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 2017-06-09
1306373543 Brenda Kay Mitchell 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 2017-05-18
1760914493 Changing Perceptions 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 2017-03-31
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97208

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Dataset Information

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.