Mobile Vaccs LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOBILE VACCS LLC

Practice address

3838 SE Saint Andrews PL
Gresham, OR 97080-8421

Phone

(503) 858-7403

NPI assigned

Nov 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cathryn HansenNPI 1871034371

Title

Owner/Operator

Phone

(503) 858-7403

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathryn Hansen, REGISTERED NURSE

  • Registered Nurse
  • Gresham, OR
  • NPI 1871034371
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1215440557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SE SAINT ANDREWS PL",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808421",
            "telephone_number": "503-858-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SE SAINT ANDREWS PL",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808421",
            "telephone_number": "503-858-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE VACCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-858-7403"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Louise Mirasol, M.A., LPC
• Samirah Miriy
• Frank Anthony Mistretta, PHARMD
• Tashana L Mithen
• Drake Miyake, MSW
• Irma Bernadette Molina, LMT
• Randall J Monnes, D.M.D.
• Shirley Ann Monroe, M.A., L.P.C.
• Brian Kenneth Monson, MSW, CSWA
• Aaron Montgomery, D.C.

• Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.