GRESHAM THERAPEUTIC MASSAGE CENTER (NPI# 1295182848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295182848 |
| Entity Type | Organization |
| Organization Name | GRESHAM THERAPEUTIC MASSAGE CENTER |
| Practice Address |
1748 Nw Fairview Dr Gresham OR 97030-3842 |
| Practice Telephone | 5034923910 |
| Practice Fax Number | 5036746706 |
| Mailing Telephone | 5034923910 |
| Mailing Fax Number | 5036746706 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | HEATHER HOARD (OWNER) |
| Authorized Official Telephone | 5034923910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 21991 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | SPECIALIST | 21991 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205206497 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 1144637448 | Gresham Therapeutic Massage Center | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2014-07-18 |
| 1033317474 | Gresham Therapeutic Massage Center | Specialist | 1217 Ne Burnside Rd, Suite 502, Gresham, OR 97030-6722 | 2007-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRESHAM THERAPEUTIC MASSAGE CENTER, CORPORATION | 1748 Nw Fairview Dr, Gresham, OR 97030 |
| Street Address |
1748 NW FAIRVIEW DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098056 | Marie H Mason | Chiropractor | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2006-09-26 |
| 1942808720 | Rachel Owens | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2020-10-13 |
| 1770142986 | David Hotchkiss | Specialist/Technologist, Other | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-06-11 |
| 1720642614 | Cole Hoard | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-04-25 |
| 1114483153 | Kyle Paladeni | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-02-14 |
| 1982146858 | Cheryl Higgins | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030 | 2016-11-09 |
| 1073065017 | Fannie Phillips | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-10-25 |
| 1699131334 | Bruce Carter | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-01-11 |
| 1205206497 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1710344643 | Carole Casler | Public Health or Welfare | 70 Sw Century Dr Ste 100-184, Bend, OR 97702-3557 | 2016-01-22 |
| 1093101081 | Lucas Weiss | Public Health or Welfare | 260 E 15th Ave Ste F, Eugene, OR 97401-4177 | 2015-04-07 |
| 1194122721 | Community Chest Inc. | Public Health or Welfare | 1628 Ne Buffalo St, Portland, OR 97211-4718 | 2014-11-25 |
| 1598184087 | Cherocreek Nation | Public Health or Welfare | 831 Talent Ave, Talent, OR 97540-9613 | 2014-04-11 |
| 1144668583 | Odyssey Science Innovations | Public Health or Welfare | 7471 Sw Saint John Pl, Portland, OR 97223-4503 | 2013-06-07 |
| 1821356536 | Clackamas Service Center | Public Health or Welfare | 8800 Se 80th Ave, Portland, OR 97206-9270 | 2012-05-01 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1851698476 | Columbia Gorge Children's Advocacy Center | Public Health or Welfare | 1340 Wasco St, Hood River, OR 97031-1148 | 2011-02-16 |
| Find all providers with the same taxonomy | ||||
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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.