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GENESIS MESA LPN
NPI 1528489903
Licensed Practical Nurse in Portland, OR

Active since January 02, 2014
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215(503) 335-9980 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Genesis Mesa Lpn NPPES

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

GENESIS MESA LPN (NPI 1528489903) is an individual licensed practical nurse in Portland, Oregon, licensed in Oregon (200630448LPN) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1528489903
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGENESIS MESACredential: LPN
Location Address4531 SE BELMONT ST STE 100Portland, OR 97215-1675
Mailing Address4531 Se Belmont St Ste 100Portland, OR 97215-1675 · (503) 335-9980
Phone(503) 335-9980
Sole ProprietorYes
Enumeration DateJanuary 2, 2014
✔ NPI 1528489903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 200630448LPN
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4531 SE BELMONT ST STE 100, Portland, OR 97215
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Other Providers at the Same Location NPPES 20

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

HEATHER SHANK LCSW
Social Worker (Clinical)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 894-1871
ELEE ALLECKSON CSWA
Social Worker (Clinical)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
SHANE ROVIG
Registered Nurse
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
MEGAN JOANNE KELLER
Registered Nurse (Gerontology)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 546-9559
KATHERINE L EVANS RN
Registered Nurse (Administrator)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-9800
OSCAR LI RN
Registered Nurse
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
MRS. JENNIFER HOFFMAN SWINT RN
Registered Nurse (Case Management)
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-6556
MRS. CONNIE RAE RANDOLPH LPN
Licensed Practical Nurse
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215
Multnomah County (503) 215-9800

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 Genesis Mesa's NPI number?

The NPI number for Genesis Mesa is 1528489903. It was assigned to this individual provider in the NPPES registry on January 2, 2014.

Where is Genesis Mesa located?

Genesis Mesa practices at 4531 SE Belmont St Ste 100, Portland, OR 97215. The listed phone number is (503) 335-9980.

What is Genesis Mesa's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Genesis Mesa was last updated on January 2, 2014. 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.