METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA (NPI# 1457313355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457313355 |
| Entity Type | Organization |
| Organization Name | METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA |
| Practice Address |
5735 Sw 170th Ave Aloha OR 97007-3318 |
| Practice Telephone | 5033560120 |
| Practice Fax Number | 5036932330 |
| Mailing Telephone | 5033560120 |
| Mailing Fax Number | 5036932330 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD JAMES LEWIS (ATHLETIC TRAINER) |
| Authorized Official Telephone | 5033122616 |
| Authorized Official Credential | ATC/R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | ATAT142301 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5735 SW 170TH AVE |
| City | ALOHA |
| State | OR |
| Zip Code | 97007-3318 |
| 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 | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659639938 | Julie Ruud | Specialist/Technologist | 15050 Sw Koll Pkwy Ste G, Beaverton, OR 97006-6002 | 2012-04-24 |
| 1376586784 | Allen Michael Wood | Specialist/Technologist | 13585 Sw Tarleton Ct, Portland, OR 97224-1678 | 2006-06-14 |
| 1487206033 | Chelsea Humphreys | Specialist/Technologist | 3003 Willamette St Ste B, Eugene, OR 97405 | 2019-07-14 |
| 1275087637 | Deana Beyerlin | Specialist/Technologist | 2496 Adams St, Eugene, OR 97405-2241 | 2016-08-15 |
| 1952679169 | Stacy Cohen | Specialist/Technologist | 15050 Sw Koll Pkwy, Suite G, Beaverton, OR 97006-6001 | 2011-12-02 |
| 1841435203 | Richard W. Moore Dds PC | Specialist/Technologist | 7931 Ne Halsey St, Suite 305, Portland, OR 97213-6755 | 2008-12-12 |
Please comment or provide details below to improve the information on METRO ATHLETIC TRAINERS ALLIANCE, AKA MATA.
| 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.