MS. KATELYN MARIE DECKER (NPI# 1235460494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235460494 |
| Entity Type | Individual |
| Full Name | MS. KATELYN MARIE DECKER |
| Credential | L.AC., M.AC.O.M. |
| Practice Address |
2627 Ne Broadway St Portland OR 97232-1720 |
| Practice Telephone | 9712351171 |
| Mailing Telephone | 9712351171 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 150593 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770066276 | Katelyn E Decker | Occupational Therapist | 7369 Hunter Hill Rd, Rocky Mount, NC 27804-7954 | 2018-09-11 |
| 1649725961 | Katelyn Decker | Behavioral Analyst | 1760 W Algonquin Rd, Palatine, IL 60067-4791 | 2016-08-16 |
| Street Address |
2627 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255540845 | Lisa Renee Mertz | Specialist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2007-05-21 |
| 1417293721 | Mudra Massage, LLC | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2012-12-14 |
| 1245582352 | Nancy Failla | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2012-10-12 |
| 1205113545 | Rory Mohon | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2011-11-15 |
| 1114231891 | Desiree Fredenburg | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2010-08-04 |
| 1649502683 | Juniper Vojta | Mechanotherapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2010-02-01 |
| 1225285232 | Katherine Gilfoil Stauffer | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2008-08-20 |
| 1891962361 | Ambert James Dunsmore | Massage Therapist | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2008-05-13 |
| 1689840456 | Lynn Marie Bukowski | Community Health Worker | 2627 Ne Broadway St, Portland, OR 97232-1720 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
| 1841897550 | Woven Wellness LLC | Acupuncturist | 6511 N Interstate Ave, Portland, OR 97217-4835 | 2020-10-06 |
| 1518571322 | Charisse Renee Squires | Acupuncturist | 1804 Se Oak St, Portland, OR 97214-1538 | 2020-08-31 |
| 1659989069 | Touchet Acupuncture | Acupuncturist | 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 | 2020-07-22 |
| 1417571480 | Dragon Rises Center for Wholeness | Acupuncturist | 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 | 2020-06-04 |
| 1972126191 | Acupuncture By Maya Martinez LLC | Acupuncturist | 12732 Se Stark St Bldg G, Portland, OR 97233-1539 | 2020-05-21 |
| 1437771854 | Hannah Grice | Acupuncturist | 11750 Sw Barnes Rd Ste 240, Portland, OR 97225-5911 | 2020-05-07 |
| 1164043022 | Michelle Yan | Acupuncturist | 2855 Nw Thurman St, Portland, OR 97210-2206 | 2020-05-01 |
| 1174144562 | Dean Mcnash | Acupuncturist | 2222 Se Woodward St, Portland, OR 97202-2157 | 2020-04-27 |
| 1205456548 | Zev J Alpert | Acupuncturist | 3150 Sw Bertha Blvd Apt 11, Portland, OR 97239-1181 | 2020-04-16 |
| Find all providers in PORTLAND | ||||
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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.