MEREDITH ANNE OBENCHAIN (NPI# 1063654804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654804 |
| Entity Type | Individual |
| Full Name | MEREDITH ANNE OBENCHAIN |
| Credential | LMT, DIPL. ABT |
| Practice Address |
8283 Sw Barbur Blvd Portland OR 97219-2871 |
| Mailing Address |
10956 Se Azar Dr Happy Valley OR 97086-7804 |
| Practice Telephone | 5032441330 |
| Mailing Telephone | 2087240343 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 15668 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8283 SW BARBUR BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336161579 | John Stephen Blank | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2006-07-24 |
| 1144764465 | Fung-ming Kung | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2016-12-05 |
| 1619333424 | Yu Jin Lee, Lac. | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2016-01-08 |
| 1447670930 | Julie Lynn Decker | Massage Therapist | 8283 Sw Barbur Blvd, Portland, OR 97219 | 2014-04-23 |
| 1992009054 | Jonathan Glen Conant | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2011-01-04 |
| 1750601571 | Yingying Chen | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2010-06-03 |
| 1528249067 | Andrew Inbae Kim | Naturopath | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2007-11-26 |
| 1386865103 | Gonzalo Flores | Acupuncturist | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2007-05-01 |
| 1649304338 | Mindful Medicine, PC | Psychiatry & Neurology | 8283 Sw Barbur Blvd, Portland, OR 97219-2871 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
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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.