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THANISSARA POOMLAOCHAENG
NPI 1265866297
Case Manager/Care Coordinator in Portland, OR

Active since August 27, 2013
3034 NE MLK BLVD, PORTLAND, OR 97212(503) 889-2500 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thanissara Poomlaochaeng NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THANISSARA POOMLAOCHAENG (NPI 1265866297) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1265866297
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTHANISSARA POOMLAOCHAENG
Location Address3034 NE MLK BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 889-2500
Sole ProprietorNo
Enumeration DateAugust 27, 2013
✔ NPI 1265866297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3034 NE MLK BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNA VALERIO
Counselor (Addiction (Substance Use Disorder))
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
MRS. LATASHA LAYLA WHEATT-DELANCY QMHP, MSW
Social Worker
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2522
JOSHUA ANDREW LATHAN
Case Manager/Care Coordinator
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
FREDERICK BERRY
Counselor (Addiction (Substance Use Disorder))
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 238-3763
CYNTHIA ROSS CONNAIS
Counselor (Mental Health)
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
CHERYL A JOHNSON
Counselor (Addiction (Substance Use Disorder))
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2515
ERIC LERMONT ISLAND
Case Manager/Care Coordinator
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
TINA HAMMICK
Adult Companion
3034 NE MLK BLVD
PORTLAND, OR 97212
Multnomah County (503) 238-0769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thanissara Poomlaochaeng's NPI number?

The NPI number for Thanissara Poomlaochaeng is 1265866297. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Thanissara Poomlaochaeng located?

Thanissara Poomlaochaeng practices at 3034 NE Mlk Blvd, Portland, OR 97212. The listed phone number is (503) 889-2500.

What is Thanissara Poomlaochaeng's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Thanissara Poomlaochaeng was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.