PATH SOLARIS LLC
Specialist

Address: 1842 Nw 25th Ave Ste D, Portland, OR 97210-2568

PATH SOLARIS LLC (NPI# 1609453992) 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) 1609453992
Entity Type Organization
Organization Name PATH SOLARIS LLC
Practice Address 1842 Nw 25th Ave Ste D
Portland
OR 97210-2568
Practice Telephone 4152544445
Mailing Address 1842 Nw 25th Ave Ste D
Portland
OR 97210-2568
Mailing Telephone 4152544445
Certification Date 2021-03-24
Enumeration Date 2021-03-24
Last Update Date 2021-03-24
Authorized Official Telephone 4152544445
Authorized Official Credential DSOM, LA.,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 174400000X Specialist 193400000X SINGLE SPECIALTY GROUP Other Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1164043022 OR MEDICAID

Other Provider/Organization Names

Other Name Type Code
Dr. Michelle Yan, DSOM, LAc. Doing Business As Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL www.pathsolaris.com 1842 Nw 25th Ave Ste D, Portland, OR 972102568

Office Location

Street Address 1842 NW 25TH AVE STE D
City PORTLAND
State OR
Zip Code 97210-2568

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255683231 Emily Simpson Specialist 1842 Nw 25th Ave Ste A, Portland, OR 97210-2568 2012-10-15
1912561184 Emily Simpson Lmt Massage Therapist 1842 Nw 25th Ave Ste A, Portland, OR 97210-2568 2019-04-23
1982106563 Veronica Mary Tafuri Massage Therapist 1842 Nw 25th Ave, Portland, OR 97210-2568 2018-02-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1467075598 Marilani Su Ching Pharmacist - Pharmacotherapy 1015 Nw 22nd Avenue, Pharmacy Services, Portland, OR 97210 2020-05-23
1073142659 Neysan Pucks Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Portland, OR 97210 2020-04-06
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist - Clinical 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1689224362 Shelby Jane Busch · Shelby Jane Hatzinger Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2019-09-16
1366919052 Liberty Blank Naturopath 164 Nw Macleay Blvd, Portland, OR 97210 2018-10-31
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1669949624 Angela T Camardese Counselor - Mental Health 4600 Nw Cornell Rd, Portland, OR 97210-1042 2018-10-29
1205453271 Speak Read Write Speech-Language Pathologist 1714 Nw 32nd Ave, Portland, OR 97210-1910 2020-06-25
Find all providers in zip 97210

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536560 Irina A Mcgaughey Specialist 610 Sw Alder St Ste 920, Portland, OR 97205-3610 2020-10-19
1780294181 Cynthia R Mendoza Specialist 2245 Se Powell Blvd, Portland, OR 97202-2143 2020-07-31
1649889957 Eva B Kozlowski Specialist 2340 Se Gladstone St, Portland, OR 97202-2962 2020-07-23
1770044281 Donnissa Smith Specialist 117 Se 129th Ave, Portland, OR 97233-1503 2019-03-27
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1578097218 Alicia N Keys Specialist 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 2017-04-19
1942734736 Mom By Lj Specialist 2906 N Willamette Blvd, Portland, OR 97217-4073 2017-04-18
1659811198 Ricardo H. Medina Specialist 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 2017-03-02
1487193942 Erin Roxanne Parker Specialist 7210 N Oatman Ave, Portland, OR 97217-5836 2017-02-16
1730626805 Jennifer Frank Specialist 1008 Se 112th Ave, Portland, OR 97216-3516 2017-01-26
Find all providers in PORTLAND

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City PORTLAND
Zip Code 97210

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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.