ONE SPACE HEALTH CARE (NPI# 1386132066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386132066 |
| Entity Type | Organization |
| Organization Name | ONE SPACE HEALTH CARE |
| Other Organization Name | ONE SPACE HEALTH CARE |
| Practice Address |
15962 Boones Ferry Rd Ste 204 Lake Oswego OR 97035-4360 |
| Mailing Address |
4263 Harvey Way Lake Oswego OR 97035-3412 |
| Practice Telephone | 5036752439 |
| Mailing Telephone | 8083492274 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | MELISSA AHNEMANN (CBCS) |
| Authorized Official Telephone | 8083492274 |
| Is Organization Subpart | Y |
| Parent Organization Name | JESSICA M EVANS ND |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | Other Service Providers |
| Other Name | Type Code |
|---|---|
| One Space Health Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ONE SPACE HEALTH CARE, LLC | 15962 Boones Ferry Rd, Ste 204, Lake Oswego, OR 97035 |
| Street Address |
15962 BOONES FERRY RD STE 204 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811036700 | Laurie Marzell | Naturopath | 15962 Boones Ferry Rd Ste 204, Lake Oswego, OR 97035-4360 | 2007-02-06 |
| 1538618525 | Brook Ahnemann | Naturopath | 15962 Boones Ferry Rd Ste 204, Lake Oswego, OR 97035-4360 | 2016-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283224 | Jenifer Lyn Gullotto | Naturopath | 17084 Pilkington Rd, Lake Oswego, OR 97035-5352 | 2019-12-23 |
| 1922557883 | Venessa Monica Madrigal | Naturopath | 12375 Mount Jefferson Ter, Apt 6a, Lake Oswego, OR 97035-8880 | 2016-10-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1780026401 | Restorative Health Clinic | Naturopath | 17685 Sw 65th Ave. Suite 300, Lake Oswego, OR 97035 | 2013-07-23 |
| 1124371836 | David Alfonso Palacios | Naturopath | 11830 Kerr Pkwy Ste 208, Lake Oswego, OR 97035-1228 | 2012-10-18 |
| 1720330699 | Elizabeth Davidson | Naturopath | 17374 Lake Haven Dr, Lake Oswego, OR 97035-6515 | 2012-10-03 |
| 1558618108 | Laurie Marzell, N.d. | Naturopath | 15962 Boones Ferry Rd Ste 102, Lake Oswego, OR 97035-4359 | 2012-08-13 |
| 1487951125 | Oswego Progressive Medicine, LLC | Naturopath | 14535 Westlake Dr, Suite B, Lake Oswego, OR 97035-7775 | 2011-02-15 |
| 1710205950 | Katrina Wilhelm | Naturopath | 415 N State St Ste 148, Lake Oswego, OR 97034-3244 | 2010-05-12 |
| 1598089435 | Krista Jean Anderson-ross | Naturopath | 1637 Laurel St, Lake Oswego, OR 97034-4755 | 2010-03-22 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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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.