REBECCA PATCHETT (NPI# 1104256460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104256460 |
Entity Type | Individual |
Full Name | REBECCA PATCHETT |
Credential | LMT OR MT |
Practice Address |
625 E Hereford St Gladstone OR 97027-1742 |
Practice Telephone | 5038942652 |
Mailing Telephone | 5038942652 |
Enumeration Date | 2013-11-22 |
Last Update Date | 2013-11-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225700000X | Massage Therapist | CAMT 47113 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225700000X | Massage Therapist | LMT 19920 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
625 E HEREFORD ST |
City | GLADSTONE |
State | OR |
Zip Code | 97027-1742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
1376036764 | Gladstone Smiles Dentistry PC | Dentist | 20140 Mcloughlin Blvd, Gladstone, OR 97027 | 2018-06-11 |
1194111344 | Kacey Danyelle Dahmen | Behavioral Analyst | 890 Se 82nd Drive, Gladstone, OR 97027 | 2015-04-14 |
1255738092 | Western Psychological and Counseling Services PC | Community/Behavioral Health | 870 Se 82nd, Gladstone, OR 97027 | 2014-11-21 |
1548678097 | James Lee Briscoe | Counselor | 870 Se 82nd Dr., Bldg. C, Gladstone, OR 97027 | 2014-07-29 |
1003164690 | Chloe Elizabeth Lee-zorn | Psychologist | 890 Se 82nd, Gladstone, OR 97027 | 2012-08-29 |
1700187408 | Leonard Cogan | Counselor | 887 82nd Dr, Bldg C, Gladstone, OR 97027 | 2010-11-11 |
1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
1093971640 | Western Psychological and Counseling Services PC | Counselor | 9670 Sw Beaverton-hillsdale Hwy, Beaverton, OR 97027 | 2008-08-04 |
1578606935 | Myron John Welbes | Counselor | 17663 Se 82nd Drive, Gladstone, OR 97027 | 2007-02-15 |
Find all providers in zip 97027 |
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 |
---|---|---|---|---|
1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
1912416694 | Hands of Dawn LLC | Massage Therapist | 250 Princeton Ave Ste 207b, Gladstone, OR 97027-2566 | 2017-09-25 |
1639622855 | Diane L. Lewis | Massage Therapist | 19845 River Rd Apt A, Gladstone, OR 97027-2283 | 2016-07-25 |
1639563117 | Brett Eric Schweisberger | Massage Therapist | 5740 N Broadway St, Gladstone, MO 64118-3998 | 2015-03-23 |
1548651037 | Patricia Maynarich | Massage Therapist | 1302 Michigan Ave, Gladstone, MI 49837-1320 | 2015-02-05 |
1841694312 | Miriam R Jones | Massage Therapist | 45 82nd Dr Ste 45, Gladstone, OR 97027-2562 | 2014-10-13 |
1013319029 | Aurora Martinez | Massage Therapist | 515 E Berkeley St, Gladstone, OR 97027-2510 | 2014-09-22 |
1609131580 | Dawn M Jenson | Massage Therapist | 19753 River Rd, #c, Gladstone, OR 97027-2215 | 2012-07-07 |
1700935855 | Tracy Todd | Massage Therapist | 115 W Gloucester St, Gladstone, OR 97027-2032 | 2007-01-09 |
1376616649 | Melanie Eileen Wheelhouse | Massage Therapist | 150 E Clarendon St, Gladstone, OR 97027-2428 | 2006-11-16 |
Find all providers in GLADSTONE |
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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.