MRS. MICHELLE MARIE BENNETT (NPI# 1205385879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205385879 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE MARIE BENNETT |
| Credential | LMT |
| Practice Address |
3689 Carman Dr Ste 300 Lake Oswego OR 97035-2620 |
| Mailing Address |
14044 Chelsea Drive Lake Oswgo OR 97035-5760 |
| Practice Telephone | 5035155579 |
| Practice Fax Number | 5036977810 |
| Mailing Telephone | 5035155579 |
| Mailing Fax Number | 5036977810 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 21023 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932409836 | Michelle Denise Bennett | Registered Nurse | 70 Catherine Ct, Lynchburg, VA 24501-7075 | 2010-10-25 |
| 1194988006 | Michelle Simone Bennett | Nurse's Aide | 6697 Pine Valley Trce, Stone Mountain, GA 30087-5819 | 2008-07-10 |
| 1598726507 | Michelle Lynn Bennett | Pediatrics | 17742 Beach Blvd., Suite 240, Huntington Beach, CA 92647 | 2006-03-29 |
| 1033185756 | Michelle L Bennett | Pediatrics | 1115 Clifton Ave Ste 101, Clifton, NJ 07013-3649 | 2006-02-23 |
| 1902403405 | Michelle Bennett | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2020-10-07 |
| 1588207120 | Michelle Bennett | Physician Assistant | 2601 S Kanner Hwy, Stuart, FL 34994-4622 | 2019-10-28 |
| 1902457013 | Michelle Bennett | Technician | 10443 Riverdale Rise Dr, Riverview, FL 33578-4065 | 2019-09-20 |
| 1467989079 | Michelle Bennett | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Ob/gyn Department, Brooklyn, NY 11203-2012 | 2017-05-12 |
| 1649715145 | Michelle Bennett | Massage Therapist | 6303 Indian School Rd Ne, Suite 102b, Albuquerque, NM 87110-5328 | 2016-12-20 |
| 1831588615 | Michelle L. Bennett | Pharmacist | 2200 Tydd St, Eureka, CA 95501-1284 | 2015-01-15 |
| Street Address |
3689 CARMAN DR STE 300 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669804399 | Pura Vida Acupuncture | Acupuncturist | 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 | 2013-08-05 |
| 1558813063 | Heart Centered Medicine | Acupuncturist | 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 | 2016-11-01 |
| 1235680828 | Evergreen Naturopathic Clinic LLC | Naturopath | 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 | 2016-10-18 |
| 1124488069 | Nicole K Nesser | Massage Therapist | 3689 Carman Dr Ste 300, Lake Oswego, OR 97035-2620 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| 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 |
|---|---|---|---|---|
| 1164040333 | Elisa Brockway | Massage Therapist | 530 1st St Ste B2, Lake Oswego, OR 97034-3248 | 2020-07-14 |
| 1437795549 | Yan Li | Massage Therapist | 16624 Roosevelt Ave, Lake Oswego, OR 97035-4046 | 2019-11-24 |
| 1972157931 | Xiaoyue O Chin | Massage Therapist | 459 2nd St, Lake Oswego, OR 97034-3126 | 2019-07-29 |
| 1437718764 | Richard C Irvine Jr. | Massage Therapist | 3 Monroe Pkwy Ste 100u, Lake Oswego, OR 97035-1486 | 2019-06-11 |
| 1295214609 | Valencia Arciniega | Massage Therapist | 311 B Ave Ste W, Lake Oswego, OR 97034-3071 | 2018-08-08 |
| 1063914299 | Jessica Gaisford | Massage Therapist | 4 Monroe Pkwy Ste J, Lake Oswego, OR 97035-1406 | 2018-03-03 |
| 1457851149 | Daniel Kler | Massage Therapist | 15110 Boones Ferry Rd Ste 100c, Lake Oswego, OR 97035-3452 | 2018-02-19 |
| 1295243350 | Jenney Lanae Seale | Massage Therapist | 15110 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-3468 | 2018-01-11 |
| 1679082622 | Callie Albertus | Massage Therapist | 16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035-4378 | 2017-09-21 |
| 1114436250 | David Holloway | Massage Therapist | 17777 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5398 | 2017-09-20 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on MRS. MICHELLE MARIE BENNETT.
| 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.