MS. TANYA ILONA PURT-NICHOLS (NPI# 1447741020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447741020 |
| Entity Type | Individual |
| Full Name | MS. TANYA ILONA PURT-NICHOLS |
| Practice Address |
10600 Se Mcloughlin Blvd Ste 203 Milwaukie OR 97222-7428 |
| Practice Telephone | 5033194855 |
| Mailing Telephone | 5033194855 |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2018-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
BAP-TA-10157589 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
10600 SE MCLOUGHLIN BLVD STE 203 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409523 | Miss Alter Ego Salon, LLC | Specialist/Technologist, Other | 21185 Nw West Union Rd, Hillsboro, OR 97124-8543 | 2020-02-19 |
| 1851843023 | Joshua Travis South I | Specialist/Technologist, Other | 160 E 18th Ave, Eugene, OR 97401-4160 | 2016-11-03 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1912343989 | Culp Enterprises, Inc. | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2013-05-17 |
| 1417211814 | Judith May Culp | Specialist/Technologist, Other | 81 Centennial Loop, Suite 3, Eugene, OR 97401-2471 | 2012-06-29 |
| 1285770958 | Kathleen Sue Sherwood | Specialist/Technologist, Other | 680 E 18th Ave, Eugene, OR 97401-4360 | 2007-01-30 |
| 1295353969 | Eain Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2020-07-09 |
| 1942859160 | Esthetics Nw Services LLC | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-09-10 |
| 1821640673 | Michelle Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-07-11 |
| 1326445651 | Erik Berntsen | Specialist/Technologist, Other | 1820 Sw Vermont St, Suite K, Portland, OR 97219-1945 | 2014-12-02 |
| Find all providers with the same taxonomy | ||||
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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.