| Sokyahealth Medical Group Pc | |
|
700 Ne Multnomah St Ste 870 Portland OR 97232-4112 | |
| (503) 298-4592 | |
| Not Available |
| Full Name | Sokyahealth Medical Group Pc |
|---|---|
| Speciality | Counselor |
| Location | 700 Ne Multnomah St Ste 870, Portland, Oregon |
| Authorized Official Name and Position | Emily Hawk (DIRECTOR OF DEVELOPMENT AND OPERATO) |
| Authorized Official Contact | 5039614406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sokyahealth Medical Group Pc Po Box 601422 San Diego CA 92160-1422 Ph: () - | Sokyahealth Medical Group Pc 700 Ne Multnomah St Ste 870 Portland OR 97232-4112 Ph: (503) 298-4592 |
| NPI Number | 1447842232 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 9739575648 |
|---|---|
| Medicare Enrollment ID | O20220401000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447842232 | NPI | - | NPPES |
| Provider Name | Yoonhui Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306947726 PECOS PAC ID: 1456451517 Enrollment ID: I20070703000383 |
| Provider Name | Nina R Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336359512 PECOS PAC ID: 7113098450 Enrollment ID: I20080613000604 |
| Provider Name | Kristi L Tasker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518972918 PECOS PAC ID: 1355498080 Enrollment ID: I20090414000700 |
| Provider Name | Juliann M Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932231925 PECOS PAC ID: 5597947408 Enrollment ID: I20110315000181 |
| Provider Name | Jordan M Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437452018 PECOS PAC ID: 3870808207 Enrollment ID: I20150831000661 |
| Provider Name | Mark Owen Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568749687 PECOS PAC ID: 8224320775 Enrollment ID: I20160701001692 |
| Provider Name | Elise Noel Bascom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043853948 PECOS PAC ID: 5799118352 Enrollment ID: I20191212001197 |
| Provider Name | Diane Wendel Habel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649678434 PECOS PAC ID: 7517248503 Enrollment ID: I20200521002048 |
| Provider Name | David E Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588034193 PECOS PAC ID: 7315357167 Enrollment ID: I20201105001152 |
| Provider Name | Elizabeth Natalie Difrancisco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184136756 PECOS PAC ID: 9739585944 Enrollment ID: I20210913002532 |
| Provider Name | Mary S Grasmick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093386559 PECOS PAC ID: 9931576725 Enrollment ID: I20221108001785 |
| Provider Name | Brenda Hamel Burris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760706873 PECOS PAC ID: 7416116595 Enrollment ID: I20221201003000 |
| Provider Name | Rachel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952960387 PECOS PAC ID: 8426384785 Enrollment ID: I20230130001163 |
| Provider Name | Michael Lee Jankowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295004448 PECOS PAC ID: 9739341041 Enrollment ID: I20230220000988 |
| Provider Name | Beaux Baggesen-jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932337946 PECOS PAC ID: 5395078471 Enrollment ID: I20230321002945 |
| Provider Name | Angela I Saini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528415163 PECOS PAC ID: 5890058721 Enrollment ID: I20230505000858 |
| Provider Name | Joanna A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033538152 PECOS PAC ID: 0941666002 Enrollment ID: I20230515002626 |
| Provider Name | Randy Olander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013244599 PECOS PAC ID: 6608232392 Enrollment ID: I20230523001522 |
| Provider Name | Benjamin Dale Knowlton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255924023 PECOS PAC ID: 3678930898 Enrollment ID: I20230602002128 |
| Provider Name | Lillian Nagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063851442 PECOS PAC ID: 0648594929 Enrollment ID: I20230621002796 |
| Provider Name | Brenda Imogen Wierschin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205159340 PECOS PAC ID: 7517328909 Enrollment ID: I20230801004524 |
| Provider Name | Marni Li Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558659185 PECOS PAC ID: 0143538348 Enrollment ID: I20230905001365 |
| Provider Name | Joanne M Mabis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083934863 PECOS PAC ID: 3173972288 Enrollment ID: I20231229001888 |
| Provider Name | Zachary Ray Horner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336564137 PECOS PAC ID: 6204286289 Enrollment ID: I20240103002703 |
| Provider Name | Anna Maria Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619316080 PECOS PAC ID: 9638520547 Enrollment ID: I20240104002942 |
| Provider Name | Megan Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841942414 PECOS PAC ID: 6406207968 Enrollment ID: I20240109002226 |
| Provider Name | John Mark Newey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699218446 PECOS PAC ID: 1355792888 Enrollment ID: I20240109004928 |
| Provider Name | Sheena Jain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033872940 PECOS PAC ID: 9032560495 Enrollment ID: I20240110001500 |
| Provider Name | Kathryn Anne Kirkwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235323544 PECOS PAC ID: 0941651012 Enrollment ID: I20240112003055 |
| Provider Name | Jeremiah Guidos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508299538 PECOS PAC ID: 9032561113 Enrollment ID: I20240115001515 |
| Provider Name | Jennifer Yeggy Etter Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821692310 PECOS PAC ID: 2961854997 Enrollment ID: I20240116001416 |
| Provider Name | Pamela Ranger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568588275 PECOS PAC ID: 3870945801 Enrollment ID: I20240116001420 |
| Provider Name | Britney Meika Paddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568942837 PECOS PAC ID: 2365894086 Enrollment ID: I20240118002249 |
| Provider Name | Kari A Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710435748 PECOS PAC ID: 7113379603 Enrollment ID: I20240119003654 |
| Provider Name | Curtis Dean Hall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609086305 PECOS PAC ID: 1254783632 Enrollment ID: I20240122002585 |
| Provider Name | Lourdes Mercedes Reyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891232427 PECOS PAC ID: 3375995772 Enrollment ID: I20240122003262 |
| Provider Name | Judy Harun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235571415 PECOS PAC ID: 8820440324 Enrollment ID: I20240124003442 |
| Provider Name | Cynthia Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952616104 PECOS PAC ID: 7618320755 Enrollment ID: I20240125001355 |
| Provider Name | Andrea Lynn Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023453529 PECOS PAC ID: 1850744509 Enrollment ID: I20240129003903 |
| Provider Name | Lucille Ellen Bugden-kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427479773 PECOS PAC ID: 4284087859 Enrollment ID: I20240130003572 |
| Provider Name | Chanida Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568929784 PECOS PAC ID: 3072977545 Enrollment ID: I20240202004022 |
| Provider Name | Jamie Nichole Lloyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598004327 PECOS PAC ID: 9537502406 Enrollment ID: I20240207002605 |
| Provider Name | Lea Annette Milburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989527 PECOS PAC ID: 6305280926 Enrollment ID: I20240221004253 |
| Provider Name | Anna Bellard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427714674 PECOS PAC ID: 5092182592 Enrollment ID: I20240308002615 |
| Provider Name | Reanna Leigh Irigoyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396202958 PECOS PAC ID: 9537505318 Enrollment ID: I20240315000004 |
| Provider Name | Rebecca Joy Oliveira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073663647 PECOS PAC ID: 9739350299 Enrollment ID: I20240322004017 |
| Provider Name | Ryan Gregory Leith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083082846 PECOS PAC ID: 1759729155 Enrollment ID: I20240404001050 |
| Provider Name | Benjamin James Ehrenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003417668 PECOS PAC ID: 0446660062 Enrollment ID: I20240412000048 |
| Provider Name | Katrina Elise Donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548836448 PECOS PAC ID: 0143698415 Enrollment ID: I20240429001522 |
| Provider Name | Heather Rhea Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801127840 PECOS PAC ID: 4880924505 Enrollment ID: I20240502001479 |
| Provider Name | Carson Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285111096 PECOS PAC ID: 1557711249 Enrollment ID: I20240619001556 |
| Provider Name | Shoshanah Maduff Zucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497242986 PECOS PAC ID: 2567812910 Enrollment ID: I20240626004152 |
| Provider Name | Kyra Amber Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083083299 PECOS PAC ID: 4587014584 Enrollment ID: I20240718000820 |
| Provider Name | Joan Ili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194946012 PECOS PAC ID: 0244639565 Enrollment ID: I20240722001387 |
| Provider Name | Tessa Jayne Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053979005 PECOS PAC ID: 4981141363 Enrollment ID: I20240802001449 |
| Provider Name | Heather Jordan Cromwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417259599 PECOS PAC ID: 2961769187 Enrollment ID: I20240806000536 |
| Provider Name | Therese A Hadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407279557 PECOS PAC ID: 4385906668 Enrollment ID: I20240806004515 |
| Provider Name | Deanne C Haisch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184778417 PECOS PAC ID: 8325586886 Enrollment ID: I20240814004423 |
| Provider Name | Jacqueline Armstrong Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750151825 PECOS PAC ID: 8022559418 Enrollment ID: I20240925003487 |
| Provider Name | Charlaine Louise Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346959483 PECOS PAC ID: 6800328048 Enrollment ID: I20241014001925 |
| Provider Name | Patricia Ann Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407689805 PECOS PAC ID: 0648702373 Enrollment ID: I20241018001026 |
| Provider Name | Derick B Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396901757 PECOS PAC ID: 3274066774 Enrollment ID: I20241022004987 |
| Provider Name | Brittany Suzanne Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912581562 PECOS PAC ID: 4789036823 Enrollment ID: I20241024003543 |
| Provider Name | Melissa Madeson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316580590 PECOS PAC ID: 0547695132 Enrollment ID: I20241106003990 |
| Provider Name | Chris Kos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548747256 PECOS PAC ID: 8628434883 Enrollment ID: I20241108001987 |
| Provider Name | Ryan Richard Mcdougle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740781384 PECOS PAC ID: 6103352190 Enrollment ID: I20241213002890 |
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