DEANNA MARIE WILSON (NPI# 1275861858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275861858 |
| Entity Type | Individual |
| Full Name | DEANNA MARIE WILSON |
| Other Name | DEANNA MARIE MASSE |
| Credential | LMT LICENSE #13180 |
| Practice Address |
7817 Se Stark St Portland OR 97215-2339 |
| Practice Telephone | 5039568984 |
| Mailing Telephone | 5039568984 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13180 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568964435 | Deanna Christine Wilson | Registered Nurse | 9130 Ne 180th St, Bothell, WA 98011-2837 | 2018-03-06 |
| 1124123484 | Deanna M Wilson | Social Worker | 853 Wake Forest Business Park Ste D, Wake Forest, NC 27587-6519 | 2006-09-13 |
| 1144886300 | Deanna Wilson | Behavior Technician | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2019-05-14 |
| 1487113940 | Deanna Maxine Wilson | Physical Therapy Assistant | 4277 Sterling Ave, Raytown, MO 64133-1351 | 2019-03-14 |
| 1417029232 | Deanna K. Wilson | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| Street Address |
7817 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558569418 | Dokken Ramey | Chiropractor | 7817 Se Stark St, Portland, OR 97215-2341 | 2007-07-03 |
| 1962017459 | Kaitlyn Douglas | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2020-09-10 |
| 1023552411 | Kore Health LLC | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-12-05 |
| 1558804161 | April Antoinette Aviles | Massage Therapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-11-30 |
| 1396294518 | Kore Health LLC | Chiropractor | 7817 Se Stark St, Portland, OR 97215-2339 | 2016-09-29 |
| 1255601258 | Anthony Quang Pham | Chiropractor | 7817 Se Stark St, Portland, OR 97215-2339 | 2012-01-06 |
| 1871829135 | Alexis D Shields | Naturopath | 7817 Se Stark St, Portland, OR 97215-2339 | 2009-10-21 |
| 1427296540 | Trina Mcdaniel | Specialist | 7817 Se Stark St, Portland, OR 97215-2339 | 2009-01-27 |
| 1730349846 | Tarah B Lehman | Mechanotherapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2008-06-11 |
| 1093975104 | Sante LLC | Mechanotherapist | 7817 Se Stark St, Portland, OR 97215-2339 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| 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 |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| 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.