MRS. GLADYS CHARLOTTE WALGREN (NPI# 1407180185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407180185 |
| Entity Type | Individual |
| Full Name | MRS. GLADYS CHARLOTTE WALGREN |
| Credential | LMT |
| Practice Address |
14780 Sw Osprey Dr Beaverton OR 97007 |
| Mailing Address |
12685 Sw Percheron Ln Beaverton OR 97008-8125 |
| Practice Telephone | 5033198016 |
| Mailing Telephone | 5033198016 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 13634 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14780 SW OSPREY DR |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316263 | Dale J Olesberg | Dentist | 14780 Sw Osprey Dr, Suite #360, Beaverton, OR 97007-8028 | 2005-09-14 |
| 1255887220 | Inspire Physical Therapy | Clinic/Center | 14780 Sw Osprey Dr, Suite 270, Beaverton, OR 97007-8028 | 2016-08-30 |
| 1467830224 | David M Barney Dmd LLC | Dentist | 14780 Sw Osprey Dr, Suite 200, Beaverton, OR 97007-8028 | 2015-05-13 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1972924595 | Camille Walker, Dds, P.C. | Dentist | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2013-12-27 |
| 1083905996 | Beaverton Psychology Services LLC | Psychologist | 14780 Sw Osprey Dr, Suite 365, Beaverton, OR 97007-8028 | 2011-04-26 |
| 1295982239 | David Michael Keoki Barney | Dentist | 14780 Sw Osprey Dr, Suite 200, Beaverton, OR 97007-8028 | 2008-08-21 |
| 1093998015 | Robin Jeanne Bousquet | Physical Therapist | 14780 Sw Osprey Dr, Suite 270, Beaverton, OR 97007-8028 | 2007-12-13 |
| 1659550051 | Kenneth Alan Wells | Massage Therapist | 14780 Sw Osprey Dr, Suite 350, Beaverton, OR 97007-8028 | 2007-11-01 |
| 1851599757 | Theresa Ann Koenig | Specialist | 14780 Sw Osprey Dr, Suite Number 350, Beaverton, OR 97007-8028 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1114337730 | Martha Blanchet | Orthotic Fitter | 2905 Adams St, Eugene, OR 97405-2373 | 2014-05-05 |
| 1134417579 | Yakiv Hradynar | Orthotic Fitter | 2326 Nw Lovejoy St, Portland, OR 97210-3022 | 2011-07-19 |
| 1154650463 | Susan Marie Mcmahon | Orthotic Fitter | 117 Nw 2nd St, Corvallis, OR 97330-4719 | 2009-12-15 |
| 1083802409 | Melanie Andrea Embree | Orthotic Fitter | 19134 Currier Dr, Bend, OR 97702 | 2007-10-10 |
| 1225198971 | Anna Morrow | Orthotic Fitter | 6534 Se 70th Ave, Portland, OR 97206-7348 | 2006-12-11 |
| 1619142171 | Roselyn Gail Ropel | Orthotic Fitter | 2620 E Barnett Rd, Suite G, Medford, OR 97504-8383 | 2008-04-25 |
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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.