MISTIR MULATU (NPI# 1093204257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093204257 |
| Entity Type | Individual |
| Full Name | MISTIR MULATU |
| Other Name | MISTIER MULATU |
| Practice Address |
15065 Sw Opal Dr Beaverton OR 97007-8770 |
| Practice Telephone | 6124141984 |
| Mailing Telephone | 6124141984 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers | ||
| N | 156F00000X | Technician/Technologist | MN | Eye and Vision Services Providers |
| Street Address |
15065 SW OPAL DR |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169611 | Glenn Albert Fairall | Technician/Technologist | 2532 Nw Ashley Dr, Albany, OR 97321-1395 | 2019-02-06 |
| 1598030256 | Christopher Paul Jacques | Technician/Technologist | 872 W Main St Apt C27, Molalla, OR 97038-8865 | 2012-03-14 |
| 1538786280 | Maria C Calderon Siquina | Technician/Technologist | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2020-06-29 |
| 1255950275 | Amiee Michele Grimes I | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-04-09 |
| 1386272490 | Tiffany Hart | Technician/Technologist | 806 Nw 6th St, Grants Pass, OR 97526-1525 | 2020-04-01 |
| 1124654215 | Cheyenne Renee Massey | Technician/Technologist | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2020-03-20 |
| 1356975155 | Shelia L Baker | Technician/Technologist | 2200 4th St, Baker City, OR 97814-2615 | 2020-03-02 |
| 1407480205 | Stephenie A Allen | Technician/Technologist | 2200 4th St, Baker City, OR 97814-2615 | 2020-03-02 |
| 1689208472 | Paul L Munson | Technician/Technologist | 2100 Main St, Baker City, OR 97814-2655 | 2020-03-02 |
| 1699306183 | Andrea Allen | Technician/Technologist | 3512 Lone Pine Rd, Medford, OR 97504-5637 | 2020-02-03 |
| 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.