MOUNTAIN MASSAGE & WELLNESS, LLC (NPI# 1295377356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295377356 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN MASSAGE & WELLNESS, LLC |
| Practice Address |
386 S Broadway St Estacada OR 97023-9702 |
| Mailing Address |
308 Se Greenway Dr Gresham OR 97080-1861 |
| Practice Telephone | 5035457159 |
| Mailing Telephone | 5035457159 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | SHILEIGHA STEPHENSON (OWNER/MASSAGE THERAPIST) |
| Authorized Official Telephone | 5035457159 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MOUNTAIN MASSAGE & WELLNESS, LLC | 386 S Broadway St, Estacada, OR 97023 |
| Street Address |
386 S BROADWAY ST |
| City | ESTACADA |
| State | OR |
| Zip Code | 97023-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713575 | Estacada School District 108 | Local Education Agency (LEA) | 255 Ne 6th Avenue, Estacada, OR 97023 | 2019-01-10 |
| 1699261990 | Still Waters Counseling | Counselor | 442 Nw Wade Street, Estacada, OR 97023 | 2018-07-10 |
| 1366936098 | Antonio Clifton Long-drew | Counselor | 478 Nw Wade St, Estacada, OR 97023 | 2018-06-16 |
| 1538402664 | Brian C Gilchrist | Pharmacist | 207 S Broadway St, Estacada, OR 97023 | 2013-03-27 |
| 1164664520 | Amy M Kammerer | Massage Therapist | 810 Ne Hill Way, Estacada, OR 97023 | 2009-04-01 |
| 1700038403 | Andrea Lea Premazzi | Naturopath | 121n Broadway St, Nw Center for Natural Medicine, Estacada, OR 97023 | 2008-10-14 |
| 1851588149 | Assisted Living Concepts Inc | Assisted Living Facility | 380 Nw 6th Avenue, Estacada, OR 97023 | 2007-10-01 |
| 1568661445 | Susan M. Jones | Mechanotherapist | 200 Sw Clubhouse Dr., Estacada, OR 97023 | 2007-07-12 |
| 1518035229 | Mastertech Security Services Inc | Personal Emergency Response Attendant | 303 Sw Zobrist, Estacada, OR 97023 | 2006-12-01 |
| 1598866154 | Russell Eugene Bibb Jr. | Dentist | 103 Sw Hwy 224, Ste A, Estacada, OR 97023 | 2006-09-26 |
| Find all providers in zip 97023 | ||||
| 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 |
|---|---|---|---|---|
| 1912486127 | April Mccoy | Massage Therapist | 204 N Broadway St, Estacada, OR 97023-8542 | 2018-08-08 |
| 1508277344 | Linda Charriere | Massage Therapist | 25730 S Tibbs Way, Estacada, OR 97023-9419 | 2014-05-14 |
| 1710121983 | Shileigha Dailease Stephenson | Massage Therapist | 386 N Broadway St, Estacada, OR 97023-8545 | 2009-05-01 |
| 1164664520 | Amy M Kammerer | Massage Therapist | 810 Ne Hill Way, Estacada, OR 97023 | 2009-04-01 |
| 1760631352 | Oneta Renee' Megahan | Massage Therapist | 35465 Se Divers Rd, Estacada, OR 97023-8437 | 2008-09-18 |
| 1396938411 | Tamara Lynn Nielson | Massage Therapist | 33841 Se Duus Rd, Estacada, OR 97023-8820 | 2007-08-22 |
| 1114138898 | Emily Caitlin Crowe | Massage Therapist | 437 Ne Main St, Estacada, OR 97023-8528 | 2007-05-24 |
| 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 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| 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.