INACTIVE (NPI# 1164794442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794442 |
| Entity Type | Organization |
| Organization Name | INACTIVE |
| Practice Address |
14890 Forsythe Rd Oregon City OR 97045-9417 |
| Practice Telephone | 9712193588 |
| Mailing Telephone | 9712193588 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | DOKKEN HAWTHORNE RAMEY (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 9712193588 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3845 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BIRTHDATE | 07101973 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Inactive Apparel | 5626 S Waco Court, Centennial, CO 80015 |
| System for Award Management (SAM) Entities | INACTIVE COMPANY, LLC, THE | 3909 Club Dr Ne, Atlanta, GA 30319-1146 |
| New York State Corporations | INACTIVE CORP. | 111 North Country Rd., Suite 3, Port Jefferson, Ny 11777 |
| Washington State Corporations | INACTIVE MBH, INC. | 3929 Spur Ridge Ln # 101, Bellingham, WA 98226-1234 |
| Colorado Business Entities | INACTIVE NAME, INC. | 1200 17th St Ste 505, Denver, CO 80202 |
| Washington State Corporations | INACTIVE TECHNOLOGIES, LLC | 17311 Ne 40th St, Vancouver, WA 98682 |
| Colorado Business Entities | Inactive Towing, LLC | 4554 W Moncrieff Pl, 3rd Floor, Denver, CO 80212 |
| Street Address |
14890 FORSYTHE RD |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516139 | Amanda Cochran | Chiropractor | 712 Main St Ste 101, Oregon City, OR 97045-1846 | 2019-06-06 |
| 1467809798 | John Stephen Parker | Chiropractor | 14176 Brittany Ter, Oregon City, OR 97045-7169 | 2016-05-17 |
| 1891151163 | Nicole A Thomas | Chiropractor | 418 Beavercreek Rd Ste 102, Oregon City, OR 97045-4287 | 2016-01-02 |
| 1326288192 | Back In The Game LLC | Chiropractor | 511 Roosevelt St, Oregon City, OR 97045-2718 | 2009-03-05 |
| 1639318686 | Ben Hokenson | Chiropractor | 275 Beavercreek Rd, C141, Oregon City, OR 97045-4161 | 2009-02-16 |
| 1881741270 | Nathan Daniel Edmonds | Chiropractor | 20229 Highway 213, Oregon City, OR 97045-9069 | 2007-01-05 |
| 1144398090 | Robert O Johns | Chiropractor | 619 High St, Oregon City, OR 97045-2240 | 2006-11-30 |
| 1992870596 | Scot D Bowles | Chiropractor | 1163 Molalla Ave, Oregon City, OR 97045-3741 | 2006-11-21 |
| 1053411041 | Brian Denis Mchale | Chiropractor | 707 7th St, Oregon City, OR 97045-2346 | 2006-09-22 |
| 1104808039 | Neil Mcmahon | Chiropractor | 1170 Molalla Ave, Oregon City, OR 97045-3770 | 2005-11-16 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on INACTIVE.
| 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.