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).
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 |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address | 1312 SW WAHINGTON ST |
City | PORTLAND |
State | OR |
Zip Code | 97208 |
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 Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
City | PORTLAND |
Zip Code | 97208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477614774 | New Albin Volunteer Fire Department · New Albin Ambulance | Ambulance · Land Transport | 118 Main St. Ne, New Albin, IA 52160 | 2006-12-12 |
1760722250 | Town of Albin · Albin Rescue | Ambulance · Land Transport | 110 Cheyenne Ave, Albin, WY 82050-9901 | 2013-02-21 |
1326467127 | Lauren Albin Roller · Lauren Simone Albin | Radiology · Diagnostic Radiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2014-04-09 |
1578606299 | Carolyn Louise Albin-Davenport · Carolyn Louise Albin | Registered Nurse | 15790 Paul Vega Md Dr, Finance Department, Hammond, LA 70403-1434 | 2007-02-14 |
1447392998 | Albin Martinez Lugo · Albin Martinez Lugo | Obstetrics & Gynecology | 770 Ave. Hostos Policlinica Bella Vista Suite 204, Mayaguez, PR 00682-1538 | 2007-02-13 |
1922045533 | Kimberly Albin Weaks · Kimberly Albin | Psychologist · Counseling | 813 Sw B Ave, C, Lawton, OK 73501-3954 | 2006-06-01 |
1487669214 | Denise Charlene Howison | Specialist | 1477 Nw 8th Ave, Miami, FL 33136-1425 | 2006-07-30 |
1760581656 | Albin Owings Kuhn II · Albin Owings Kuhn II | Internal Medicine | 8028 Ritchie Hwy, Suite 134, Pasadena, MD 21122-1075 | 2006-09-21 |
1477708659 | Charlene Denise Hanna-Manfull | Registered Nurse | 517 Rose St, Las Vegas, NV 89106-4020 | 2008-12-01 |
1548872104 | Charlene Denise Britton | Technician · Personal Care Attendant | 1337 Lynn St, Parkersburg, WV 26101-4546 | 2020-08-17 |
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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.