MACKENNA LUTTRELL


Address: 13025 Ne Fourth Plain Blvd, Suite 102, Vancouver, WA 98682
Phone: 3607188240

MACKENNA LUTTRELL (NPI# 1396153540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396153540
Entity Type Individual
Full Name MACKENNA LUTTRELL
Credential LMP
Practice Address 13025 Ne Fourth Plain Blvd
Suite 102
Vancouver
WA 98682
Mailing Address 956 14th St
Washougal
WA 98671
Practice Telephone 3607188240
Practice Fax Number 3607188241
Mailing Telephone 3609091173
Enumeration Date 2014-07-31
Last Update Date 2014-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MA60486817 WA Other Service Providers

Office Location

Street Address 13025 NE FOURTH PLAIN BLVD
SUITE 102
City VANCOUVER
State WA
Zip Code 98682

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780881631 Samantha Apple Massage Therapist 13025 Ne Fourth Plain Blvd, Suite 102, Vancouver, WA 98682-5651 2007-07-02
1669841367 Whitney Scribner Specialist 13025 Ne Fourth Plain Blvd, Suite 102, Vancouver, WA 98682-5651 2015-09-23
1730524851 Dorothy D Zeviar Acupuncturist 13025 Ne Fourth Plain Blvd, #102, Vancouver, WA 98682-5651 2013-05-02
1467604512 Bridget Camille Raach Mechanotherapist 13025 Ne Fourth Plain Blvd, Suite 102, Vancouver, WA 98682-0000 2008-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184230625 Helen Trinidad Uy Registered Nurse 15814 Ne 72nd St., Vancouver, WA 98682 2020-09-21
1891258711 Washington Dental Corporation, PC Dentist 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 2019-04-08
1588174833 Oliver Uy Nurse Practitioner 15814 Ne 72nd, Vancouver, WA 98682 2017-10-01
1285095000 Julia Melinda Zamora Naturopath 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 2016-03-08
1871999243 Jumana Sayyam Counselor 13114 Ne 41st St, Vancouver, WA 98682 2014-11-13
1679998538 Chris Briggs Massage Therapist 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 2014-02-28
1790113371 Kaiser Foundation Health Plan of The Northwest Pharmacy 1230 7th Ave., Longview, WA 98682 2013-10-17
1821336736 Carol Lynn Fischer Occupational Therapist 13501 Ne 28th Street, Vancouver, WA 98682 2013-01-28
1336412485 Erica Paige Schmidt Massage Therapist 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 2012-02-21
1669767828 Scott Germann Contractor 15410 Ne 85th Street, Vancouver, WA 98682 2011-06-16
Find all providers in zip 98682

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538635420 Amy Yvonne Galindo-ortega Specialist 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 2018-10-17
1780150904 Lita Fogle Specialist 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 2018-10-15
1669994166 Maya Mersal Specialist 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 2017-07-17
1043769334 Blue Pearl Vancouver Specialist 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 2016-09-27
1194129742 Gail A Lordi Specialist 4013 Ne 158th Ave, Vancouver, WA 98682-7477 2014-10-10
1922429844 Reynard Carrie Jr. Specialist 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 2013-12-18
1891125316 Allergy & Asthma Centers of The Nw Specialist 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 2013-11-19
1518225176 Crystal Lee Hartshorn Specialist 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 2012-05-01
1740564038 Candace Nicoloe Cashmore Specialist 109 Se 101st, Vancouver, WA 98663 2011-10-05
1790087211 Sandra Jean Bepler Specialist 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 2010-12-04
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98682

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Dataset Information

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.

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