ELEMENTS HOLISTIC WELLNESS (NPI# 1376822692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376822692 |
| Entity Type | Organization |
| Organization Name | ELEMENTS HOLISTIC WELLNESS |
| Practice Address |
15240 Se 82nd Dr Clackamas OR 97015-9606 |
| Mailing Address |
15240 Se 82nd Dr Clackamas OR 97015 |
| Practice Telephone | 5036565510 |
| Mailing Telephone | 5036565510 |
| Mailing Fax Number | 5036568080 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MYCHELL VINCENT (ACUPUNCTURIST) |
| Authorized Official Telephone | 5036565510 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC150496 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366712986 | Elements Holistic Wellness | Clinic/Center | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2012-01-12 |
| 1831477058 | Elements Holistic Wellness | Massage Therapist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELEMENTS HOLISTIC WELLNESS, L.L.C. | 15 82nd Dr Ste 100, Gladstone, OR 97027 |
| Street Address |
15240 SE 82ND DR |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720120975 | Karen Aiko Miyazono | Specialist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2007-02-13 |
| 1396188736 | Chloe Noelle Coates | Massage Therapist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2013-04-16 |
| 1104162148 | Margaret C Hartmann | Massage Therapist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2012-12-19 |
| 1366712986 | Elements Holistic Wellness | Clinic/Center | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2012-01-12 |
| 1588934848 | Mary T. Coleman, Dc PC | Chiropractor | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2012-01-04 |
| 1831477058 | Elements Holistic Wellness | Massage Therapist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-07-22 |
| 1265731228 | Emily Kay Weber | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-03-16 |
| 1366756769 | Andrea Leah Mendoza | Massage Therapist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2010-07-28 |
| 1285962365 | Amy Ruth Spencer | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2009-11-30 |
| 1285873208 | Doug Earl Howland | Specialist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2009-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881938256 | Tyler N Andres | Acupuncturist | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015 | 2012-11-25 |
| 1982658621 | Mychell E Vincent | Acupuncturist | 15480 Se 82nd Dr, Clackamas, OR 97015-9633 | 2006-05-19 |
| 1023555380 | Robert Ryan Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2017-01-25 |
| 1942651948 | Love Acupuncture | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2016-06-30 |
| 1114319175 | Tanya Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2015-03-02 |
| 1609211820 | Jessica Ann Peterson | Acupuncturist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2013-05-01 |
| 1265786636 | Susan Buhler | Acupuncturist | 15645 Se 114th Ave, Suite 102, Clackamas, OR 97015-9047 | 2012-11-06 |
| 1407103914 | Adalissete Garcia | Acupuncturist | 10001 Se Sunnyside Rd, #204, Clackamas, OR 97015-5746 | 2012-08-14 |
| 1760751044 | Gabriel Steven Prewitt | Acupuncturist | 10001 Se Sunnyside Rd Ste 204, Clackamas, OR 97015-9704 | 2011-12-15 |
| 1265731228 | Emily Kay Weber | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-03-16 |
| Find all providers in CLACKAMAS | ||||
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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.