Pulse Wellness Cooperative

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3742 Issued in OR

Legal business name

PULSE WELLNESS COOPERATIVE

Practice address

812 NE 28TH Ave
Portland, OR 97232-2409

Phone

(503) 936-1924

NPI assigned

Aug 22, 2018

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosanne Marmor, LCSWNPI 1366849341

Title

Ceo

Phone

(503) 936-1924

Specialties & licenses 1

Addresses

Other names 1

• Rosanne Marmor, LCSW Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosanne Marmor, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1366849341
  NPD Authorized official
• La Christiana Harris, MS

  • Mental Health Counselor
  • Portland, OR
  • NPI 1659059681

  Clinical

  NPD
• Erin Butler, LCSW

  • Clinical Social Worker
  • Milwaukie, OR
  • NPI 1538800057
  NPD (past)
• Erin Lessin Mahone, M.S., L.P.C.

  • Counselor
  • Portland, OR
  • NPI 1295309391
  NPD (past)
• Krista Diane Ryan, LPC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1164187332
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1912488578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322409",
            "telephone_number": "503-936-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322409",
            "telephone_number": "503-936-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE WELLNESS COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MARMOR",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-936-1924",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosanne Marmor, LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Judith Lynn Pulliam
• Patricia Jane Pulliam, A.N.P.
• Douglas Windsor Pullin, MSW, MA
• Kimberly Mane Puls, BS
• Rebecca Puls, CPT
• Robin Pulskamp, RDN, LRD
• Lisa Puma, PMHNP
• David Pumarejo
• Sharon Punivai, MC
• Aditya Punjani

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.