CRYSTAL DAWN NELLERMOE (NPI# 1003114695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003114695 |
| Entity Type | Individual |
| Full Name | CRYSTAL DAWN NELLERMOE |
| Practice Address |
357 Warner Milne Rd Oregon City OR 97045-4045 |
| Practice Telephone | 5036556780 |
| Mailing Telephone | 5036556780 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 13223 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON MASSAGE LICENSE | 13223 | 01 |
| Street Address |
357 WARNER MILNE RD |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160690 | Maurice William Smith | Chiropractor | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2005-10-31 |
| 1144798166 | Courtney Danielle Westera | Chiropractor | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2018-11-07 |
| 1750729604 | Brandy Careri | Chiropractor | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2013-06-12 |
| 1265877856 | Active Oregon Chiropractic | Clinic/Center | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2013-05-08 |
| 1619210044 | Stephanie Lynn Tolonen | Chiropractor | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2013-04-04 |
| 1174801021 | Amy Henry | Massage Therapist | 357 Warner Milne Rd, Oregon City, OR 97045-4045 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962678896 | Leverett T Miller | Contractor | 13650 Garden Meadow Dr, Oregon City, OR 97045-6813 | 2008-04-30 |
| 1174797740 | Gary Leon Fergus | Contractor | 152 Warner Parrott Rd, Oregon City, OR 97045-3932 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108615 | Chala Chiri | Contractor | 2498 Aldine Ct Ne, Keizer, OR 97303-1905 | 2020-06-16 |
| 1215568399 | Rebecca Callahan | Contractor | 16979 Sw Steele Way, Beaverton, OR 97006-8935 | 2020-01-28 |
| 1225530512 | Francisco Garcia | Contractor | 18195 Webster Rd Apt 4, Gladstone, OR 97027-1455 | 2018-03-02 |
| 1316469307 | Habtemariam Ketema | Contractor | 16215 Se Webster Rd, Milwaukie, OR 97267-5254 | 2017-07-11 |
| 1720529100 | Morgan Leder | Contractor | 12356 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 | 2017-03-17 |
| 1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
| 1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
| 1033661251 | Juli Bossert | Contractor | 2305 Ashland St Ste C443, Ashland, OR 97520-3777 | 2016-11-04 |
| 1912459488 | Jin Hwa Chung | Contractor | 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 | 2016-10-31 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.