Address: 3650 Ne Mallory Ave Apt 101, Portland, OR 97212-3088

DAVID BURNELL (NPI# 1295326262) 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) 1295326262
Entity Type Individual
Gender Male
Practice Address 3650 Ne Mallory Ave Apt 101
OR 97212-3088
Practice Telephone 9712450798
Mailing Address 4941 Ne 17th Ave
OR 97211-5709
Mailing Telephone 5032823296
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101Y00000X Counselor T-20-392 OR Behavioral Health & Social Service Providers

Office Location

Street Address 3650 NE MALLORY AVE APT 101
State OR
Zip Code 97212-3088

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205423704 Oregon Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1821 Ne 33rd Avenue, Portland, OR 97212 2020-12-30
1497223051 Shira Dennis Behavior Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor · Mental Health 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor · Addiction (Substance Use Disorder) 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker · School 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
Find all providers in zip 97212

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104427160 Kristine Lee Jones 2628 Se 87th Ave, Portland, OR 97266-1530 2020-11-05
1932711322 Rachel Wilson 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 2020-08-18
1851919906 Anjana Rajan Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1972124196 Outside In 16144 E Burnside St, Portland, OR 97233-3520 2020-04-28
1962022350 Nicole Blake · Nicole Jewell 400 Commercial St, Portland, ME 04101-4660 2020-04-25
1467086629 Katelan Ruby Hostetler 13300 Ne San Rafael St, Portland, OR 97230-3123 2020-02-26
1356973770 Laura Kille Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1093346777 Sprout Therapy Pdx LLC 7704 N Hereford Ave, Portland, OR 97203-3434 2020-01-30
1861030553 Steve Bijoga 1350 Forest Ave Apt 16, Portland, ME 04103-1815 2019-12-13
1568008001 Full Spectrum Therapy LLC 5439 Se Woodstock Blvd, Portland, OR 97206-6826 2019-11-19
Find all providers in PORTLAND


Search similar providers

Zip Code 97212

Similar providers

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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.