MRS. KRISTINE SAMUELSON (NPI# 1194126748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194126748 |
Entity Type | Individual |
Full Name | MRS. KRISTINE SAMUELSON |
Credential | MSPT |
Practice Address |
5555 Ne Elam Young Pkwy Hillsboro OR 97124-6452 |
Practice Telephone | 5032161690 |
Practice Fax Number | 5032161695 |
Mailing Telephone | 5032161690 |
Mailing Fax Number | 5032161695 |
Enumeration Date | 2014-09-12 |
Last Update Date | 2014-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2815 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5555 NE ELAM YOUNG PKWY |
City | HILLSBORO |
State | OR |
Zip Code | 97124-6452 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659339505 | Christine F. Legler | Physician Assistant | 5555 Ne Elam Young Pkwy, Providence Medical Group - Orenco, Hillsboro, OR 97124-6452 | 2006-05-02 |
1083227805 | Lindsay S Moore | Psychologist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2020-08-31 |
1245617158 | Tira Elizabeth Nesset | Nurse Practitioner | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2015-04-29 |
1952798159 | Sarah Rachel Garey | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2015-04-25 |
1902217813 | Caroline Barrett | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2014-05-13 |
1679913735 | William Ward Cuff | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2013-07-02 |
1649596875 | Jordan Isaac Roth | Family Medicine | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2010-04-13 |
1427258839 | Susan Elizabeth Braukmann | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2007-07-23 |
1073713749 | Jessica Anne Shelton | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2007-07-20 |
1598963654 | Beth Eliese Gore | Physical Therapist | 5555 Ne Elam Young Pkwy, Orenco Rehab Services, Hillsboro, OR 97124-6452 | 2007-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619194271 | Joshua Alan Cleland | Physical Therapist | 47 Moore Road, Hillsboro, NH 03244 | 2007-04-18 |
1427039981 | Pamela M Kotila | Physical Therapist | 527 Se 9th Ave, Hillsboro, OR 97123-4605 | 2005-11-10 |
1740768423 | Kevin Yukio Fujimoto | Physical Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-03 |
1861896185 | Jason Bouwkamp | Physical Therapist | 2500 Nw 229th Ave Bldg E, Suite 200, Hillsboro, OR 97124-7516 | 2014-10-15 |
1033535315 | Marie Pielage | Physical Therapist | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2014-03-11 |
1427258839 | Susan Elizabeth Braukmann | Physical Therapist | 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | 2007-07-23 |
1790852101 | Wayne Crinklaw | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
1184791584 | John Phillipe | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
1588603849 | Michael Shearer | Physical Therapist | 335 Se 8th Ave, Hillsboro, OR 97123-4246 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
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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.