MRS. SAMANTHA BANGONE LEWIS (NPI# 1376683045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376683045 |
Entity Type | Individual |
Full Name | MRS. SAMANTHA BANGONE LEWIS |
Credential | L.M.T. |
Practice Address |
13185 Sw Butner Ct Beaverton OR 97005-0833 |
Practice Telephone | 5038064652 |
Mailing Telephone | 5038064652 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2017-04-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225700000X | Massage Therapist | MA00021799 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225700000X | Massage Therapist | 12490 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215416391 | Samantha Lewis | Marriage & Family Therapist | 530 Dewitt Ave Ste 101, Clovis, CA 93612-1857 | 2018-08-09 |
1295946432 | Samantha N Lewis | Physical Therapist | 1808 Nuevo Rd, Henderson, NV 89014-5120 | 2007-05-25 |
1083212286 | Samantha Lewis | Behavior Technician | 5704 Euper Ln Ste 100, Fort Smith, AR 72903-3256 | 2020-10-12 |
1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
1174142665 | Samantha A Lewis | Speech-Language Pathologist | 800 E Locust St, Olney, IL 62450-2553 | 2020-04-14 |
1740820877 | Samantha Lewis | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-01-07 |
1992272405 | Samantha Nicole Lewis | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2018-11-01 |
1265935787 | Samantha Lewis | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2018-03-11 |
1194227686 | Samantha Marie Lewis | Social Worker | 353 N Duffy Rd, Butler, PA 16001-1138 | 2018-03-01 |
1013429513 | Samantha J Lewis | Dermatology | 500 University Dr, Hershey, PA 17033-2360 | 2017-10-25 |
Street Address |
13185 SW BUTNER CT |
City | BEAVERTON |
State | OR |
Zip Code | 97005-0833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
Find all providers in zip 97005 |
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 |
---|---|---|---|---|
1417567124 | Isaac G Frank | Massage Therapist | 5920 Sw Erickson Ave Apt 16, Beaverton, OR 97005-4557 | 2020-08-06 |
1578172417 | Rebecca Bamberg | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 150, Beaverton, OR 97006-8133 | 2020-07-27 |
1497398283 | Ashley Dawn Contreras | Massage Therapist | 10029 Sw Nimbus Ave Ste 230, Beaverton, OR 97008-7110 | 2019-10-23 |
1316580608 | James Anthony Jacoby | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 605, Beaverton, OR 97005-3019 | 2019-10-20 |
1942858832 | Karen Elaine Weitz | Massage Therapist | 1975 Nw 167th Pl Ste 5, Beaverton, OR 97006-4908 | 2019-09-03 |
1073078614 | Daniel Edwards | Massage Therapist | 4655 Sw Griffith Dr Ste 180, Beaverton, OR 97005-8732 | 2019-02-07 |
1922578756 | Deanna (deedee) Lancaster Hoover | Massage Therapist | 3515 Sw 108th Ave, Beaverton, OR 97005-1830 | 2018-12-05 |
1548735046 | Rap Manual Therapy LLC | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 120, Beaverton, OR 97006-8115 | 2018-10-10 |
1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
Find all providers in BEAVERTON |
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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.