KRIS BLUETT-WOOLEN (NPI# 1275984528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275984528 |
Entity Type | Individual |
Full Name | KRIS BLUETT-WOOLEN |
Credential | LMT |
Practice Address |
5010 Ne 33rd Ave Portland OR 97211-6946 |
Mailing Address |
5224 Ne 18th Ave Portland OR 97211-5631 |
Practice Telephone | 5032381065 |
Mailing Telephone | 5034227866 |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 7651 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5010 NE 33RD AVE |
City | PORTLAND |
State | OR |
Zip Code | 97211-6946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730246802 | Juliette Soihl | Naturopath | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2007-01-02 |
1235775180 | Joseph Cameron Free | Massage Therapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2019-11-25 |
1235641226 | Chad Anderson | Massage Therapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2017-10-30 |
1780033720 | Caroline Hoof | Contractor | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2016-06-09 |
1679959936 | Jonathan Peter Berg | Mechanotherapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2015-08-09 |
1932548369 | Melissa Franzen | Hearing Instrument Specialist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2013-06-19 |
1407195365 | Lindsay Buchanan | Acupuncturist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2013-02-12 |
1164739397 | Jeffrey Walter Brown | Massage Therapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2010-09-09 |
1508099219 | Jacinda Lee Phillips | Mechanotherapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2009-08-27 |
1174763692 | Benjamin Carlos Martin | Massage Therapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2009-02-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
Find all providers in zip 97211 |
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 |
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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.