DR. SYLAS TAKAMUNE (NPI# 1386047751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386047751 |
| Entity Type | Individual |
| Full Name | DR. SYLAS TAKAMUNE |
| Credential | DC |
| Practice Address |
2519 W Powell Blvd Gresham OR 97030-6413 |
| Practice Telephone | 9712584607 |
| Mailing Telephone | 9712584607 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5588 | OR | Chiropractic Providers |
| Street Address |
2519 W POWELL BLVD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-6413 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502180 | Ruslan Perederey | Chiropractor | 3008 Sw Chastain Ave, Gresham, OR 97080-9613 | 2017-07-27 |
| 1922473719 | Amplife Chiropractic and Sports Chiropractic | Chiropractor | 355 Ne 223rd Ave, Gresham, OR 97030-8554 | 2015-12-05 |
| 1972996874 | Kari Johnston | Chiropractor | 1167 Nw Wallula Avenue, #316, Gresham, OR 97030 | 2015-03-17 |
| 1780923532 | Aspire Chiropractic & Massage Inc. | Chiropractor | 22124 Ne Glisan St, Gresham, OR 97030-8553 | 2013-02-13 |
| 1922370543 | Jordan William Wilde | Chiropractor | 191 Se Stark Street, Gresham, OR 97233-8386 | 2012-01-27 |
| 1487948212 | Delplato Chiropractic, PC | Chiropractor | 25500 Se Stark St Ste 201b, Gresham, OR 97030-8328 | 2011-06-09 |
| 1063704427 | Renewal Centers | Chiropractor | 1240 Ne Burnside Rd, Gresham, OR 97030-5713 | 2011-05-04 |
| 1326358417 | Shelley Anne Sheridan | Chiropractor | 250 Nw Norman Ave, Gresham, OR 97030-6953 | 2010-10-07 |
| 1528384625 | Aaron Montgomery | Chiropractor | 1304 Nw Civic Dr, Gresham, OR 97030-5569 | 2010-04-14 |
| 1396978011 | Brent Alan Dixson | Chiropractor | 899 Ne Hogan Dr, Gresham, OR 97030-5825 | 2009-08-27 |
| Find all providers in GRESHAM | ||||
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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.