RANDALL L FISH (NPI# 1265502702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265502702 |
| Entity Type | Individual |
| Full Name | RANDALL L FISH |
| Credential | DC |
| Practice Address |
2025 Se Jefferson St Milwaukie OR 97222 |
| Practice Telephone | 5036545433 |
| Practice Fax Number | 5036545439 |
| Mailing Telephone | 5036545433 |
| Mailing Fax Number | 5036545439 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 273520 | OR | Chiropractic Providers |
| Street Address |
2025 SE JEFFERSON ST |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298438 | The Grounding Touch | Massage Therapist | 2025 Se Jefferson St, Milwaukie, OR 97222-7605 | 2017-11-15 |
| 1710161021 | The Spark of Life Chiropractic & Wellness | Chiropractor | 2025 Se Jefferson St, Milwaukie, OR 97222-7605 | 2007-12-21 |
| 1851410070 | Shalena Dawn Havens | Acupuncturist | 2025 Se Jefferson St, Milwaukie, OR 97222-7605 | 2007-03-28 |
| 1649301672 | Mary Bernadette Frazel | Naturopath | 2025 Se Jefferson St, Milwaukie, OR 97222-7605 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1669974663 | Adam D Isfeld | Chiropractor | 4370 Se King Rd # Set220, Milwaukie, OR 97222-1607 | 2018-03-06 |
| 1760861041 | Tatyana Velichko | Chiropractor | 11776 Se Fuller Rd, Milwaukie, OR 97222-1414 | 2015-05-20 |
| 1740618909 | Crystal Colleen Cook | Chiropractor | 3716 Southeast International Way, Milwaukie, OR 97222 | 2013-10-28 |
| 1306079025 | Angela Dmitriyevna Ozeruga | Chiropractor | 14641 Se Thornapple Ln, Milwaukie, OR 97267-1980 | 2009-08-27 |
| 1386788875 | David Mealey | Chiropractor | 11266 Se 21st Ave, Milwaukie, OR 97222-7776 | 2007-02-16 |
| 1912051277 | Rudolph Heuchert | Chiropractor | 11107 Se Stanley Ave, Milwaukie, OR 97222-4454 | 2007-01-23 |
| 1669522041 | Edward Allan Hacmac | Chiropractor | 13033 Se Rusk Rd, Milwaukie, OR 97222-2107 | 2007-01-10 |
| 1336206317 | Steven Gardner | Chiropractor | 14000 Se Johnson Rd Ste 110, Milwaukie, OR 97267-2316 | 2007-01-02 |
| 1083798755 | Kevin M. Segal | Chiropractor | 6501 Se King Rd, Milwaukie, OR 97222-2538 | 2006-10-25 |
| 1245338805 | Brian Blake Sims | Chiropractor | 4370 Se King Rd Ste 220, Milwaukie, OR 97222-1613 | 2006-09-20 |
| Find all providers in MILWAUKIE | ||||
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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.