Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1871953687 Deactivated / Inactive NPI Male Practitioner

Steve Berry

Licensed Practical Nurse • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Steve Berry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2016
NPI Deactivation Date January 28, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Steve Berry was a registered Licensed Practical Nurse practicing in Portland, OR. Throughout an active medical career spanning 4 years, Steve Berry provided care at the practice location at 324 NW DAVIS STREET until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

324 Nw Davis Street

Portland, OR 97209

Telephone 5032262203
Fax 5032234231
Associated Practice Facility / Clinic
🏢 Crc Health Oregon, Llc Facility NPI 1801947668

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
213 Specialists

Practicing in Portland, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201502563LPN

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Michael Coon , LPN

Licensed Practical Nurse

NPI 1003030057

Licensed Practical Nurse

Stephanie Whitfield

Counselor - Addiction (Substance Use Disorder)

NPI 1003260993
Aaileen Carmell , MS

Counselor - Addiction (Substance Use Disorder)

NPI 1013908508

Master of Science

Diana Fahey , CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063281814

CADCR

Joan Booth , CADCII

Counselor - Addiction (Substance Use Disorder)

NPI 1063637304
Musau Tujibikila

Licensed Practical Nurse

NPI 1063873107

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2016

Registered at 324 NW DAVIS STREET, PORTLAND, OR 97209 (Tel: 5032262203)

📍
Updated Business Mailing Address March 07, 2016

Registered at 324 NW DAVIS STREET, PORTLAND, OR 97209 (Tel: 5032262203)

👤
Provider Name / Credentials Updated March 07, 2016

Recorded as STEVE BERRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Licensed Practical Nurse (License #201502563LPN in OR)

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Initial NPI Registration & Enumeration March 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871953687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2016
Last Update: March 07, 2016
Deactivation Date: January 28, 2020

Mailing Address

324 Nw Davis Street

Portland, OR 97209

Phone: 5032262203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.