MS. CHHORN HOUN PHO (NPI# 1023646882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023646882 |
| Entity Type | Individual |
| Full Name | MS. CHHORN HOUN PHO |
| Credential | PA-C |
| Practice Address |
8649 Martin Way E Lacey WA 98516-5812 |
| Mailing Address |
8759 Hastings Cir Ne Blaine MN 55449-4508 |
| Practice Telephone | 6515283713 |
| Mailing Telephone | 6515283713 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8649 MARTIN WAY E |
| City | LACEY |
| State | WA |
| Zip Code | 98516-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073995080 | The Haven Detox Center LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2015-06-25 |
| 1467807727 | Royal Life Centers, LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569518 | Forward Mobility | Rehabilitation Practitioner | 416 Daley St Apt A, Edmonds, WA 98020-3186 | 2017-06-28 |
| 1427228980 | Susan Schmitt | Rehabilitation Practitioner | 3213 Eastlake Ave E Apt A, Seattle, WA 98102-7127 | 2008-03-11 |
| 1861511347 | Lesa Crane Hogue | Rehabilitation Practitioner | 1112 W 11th Ave, Spokane, WA 99204-3902 | 2007-03-28 |
| 1376600668 | Mark Stanley Rundel | Rehabilitation Practitioner | 1605 12th Ave, Suite 30, Seattle, WA 98122-2467 | 2007-01-03 |
| 1508972894 | Northwest Therapy Center, LLC | Rehabilitation Practitioner | 320 Ne 97th St., Ste B, Seattle, WA 98115 | 2006-08-21 |
| 1447212683 | Monica Ann Jordan | Rehabilitation Practitioner | 4010 E 15th Ave, Spokane, WA 99223-5244 | 2006-04-04 |
| 1790761286 | G Keith Mackenzie | Rehabilitation Practitioner | 715 S Cowley St, Suite 228, Spokane, WA 99202-1375 | 2005-12-16 |
| 1952933632 | Kaylin Greene | Rehabilitation Practitioner | 10258 W Highway 2 Ste 4, Spokane, WA 99224-5459 | 2020-02-10 |
| 1700300563 | Kimberly Ann Foley | Rehabilitation Practitioner | 103 Washburn Pl, Lopez Island, WA 98261-5528 | 2017-08-02 |
| 1497292577 | Jordan Eble | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2017-01-26 |
| 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.