CARLEE NICOLE DEMORE (NPI# 1003414269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003414269 |
| Entity Type | Individual |
| Full Name | CARLEE NICOLE DEMORE |
| Practice Address |
56880 Venture Ln # 215s Sunriver OR 97707-2158 |
| Practice Telephone | 5414200644 |
| Mailing Telephone | 5414200644 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 25954 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
56880 VENTURE LN # 215S |
| City | SUNRIVER |
| State | OR |
| Zip Code | 97707-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1437527504 | Rebecca Rachel Freidman | Speech-Language Pathologist | 102 Sanhedria Murchevet, Apartment 16b, Jerusalem, JERUSALEM 97707 | 2015-09-08 |
| 1023438439 | Sunriver Pharmacy | Pharmacy | 56890 Venture Lane, Sunriver, OR 97707 | 2014-04-24 |
| 1033431382 | Tamara Lee Goen | Massage Therapist | 57195 Beaver Dr, Sunriver, OR 97707 | 2010-02-26 |
| 1760716393 | Victor Bonchek | Psychologist | Sanhedria Murchevet 127/4, Jerusalem, ISRAEL 97707 | 2009-09-30 |
| 1427282938 | Julie Thibodeaux Radloff | Family Medicine | 7 Lassen Lane, Sunriver, OR 97707 | 2009-05-12 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1093935322 | James Philip Smith | Counselor | 56881 Enterprise Dr., Sunriver, OR 97707 | 2007-04-27 |
| 1013133495 | Harvey A Abrams | Anesthesiology | 57655 Tan Oak Lane, Sunriver, OR 97707 | 2007-04-17 |
| 1801966031 | Active Care Physical Therapy Inc | Physical Therapist | 18135 Cottonwood Rd, Sunriver, OR 97707 | 2006-11-08 |
| Find all providers in zip 97707 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907931 | Mercedes Dawn Taylor | Massage Therapist | 56880 Venture Ln Ste 215s, Sunriver, OR 97707-2158 | 2019-11-20 |
| 1033431382 | Tamara Lee Goen | Massage Therapist | 57195 Beaver Dr, Sunriver, OR 97707 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.