MORGAN RUDDIMAN (NPI# 1467803106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467803106 |
Entity Type | Individual |
Full Name | MORGAN RUDDIMAN |
Practice Address |
13712 Ne 20th Ave Suite A Vancouver WA 98686-2698 |
Practice Telephone | 3605745944 |
Practice Fax Number | 3605746430 |
Mailing Telephone | 3605745944 |
Mailing Fax Number | 3605746430 |
Enumeration Date | 2016-06-23 |
Last Update Date | 2016-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH60642112 | WA | Chiropractic Providers |
Street Address |
13712 NE 20TH AVE SUITE A |
City | VANCOUVER |
State | WA |
Zip Code | 98686-2698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194809392 | Paul A Reed | Chiropractor | 13712 Ne 20th Ave, Suite A, Vancouver, WA 98686-2702 | 2006-10-24 |
1841741022 | Rebekah Jarzombek | Chiropractor | 13712 Ne 20th Ave, Suite A, Vancouver, WA 98686-2698 | 2016-10-21 |
1114382801 | Matthew Lawson | Massage Therapist | 13712 Ne 20th Ave, A, Vancouver, WA 98686-2698 | 2015-12-22 |
1336512938 | Scott Warren Finlayson | Student in an Organized Health Care Education/Training Program | 13712 Ne 20th Ave, Vancouver, WA 98686-2698 | 2015-11-04 |
1629450648 | Sarah Kathleen Collum | Massage Therapist | 13712 Ne 20th Ave, Vancouver, WA 98686-2698 | 2015-06-25 |
1750768701 | Eric Vogelzang | Chiropractor | 13712 Ne 20th Ave, Vancouver, WA 98686-2698 | 2015-04-29 |
1932511656 | Shealyn Grant | Chiropractor | 13712 Ne 20th Ave, Vancouver, WA 98686-2698 | 2014-05-29 |
1215370275 | Jueria Cranfield | Massage Therapist | 13712 Ne 20th Ave, Vancouver, WA 98686-2698 | 2013-04-09 |
1740532373 | Michelle Kohn | Massage Therapist | 13712 Ne 20th Ave, Suite A, Vancouver, WA 98686-2698 | 2012-10-05 |
1588987473 | Phillip Mccary | Chiropractor | 13712 Ne 20th Ave, Vancouver, WA 98686-2702 | 2010-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
1992328637 | Michael Cam Hung Cheung | Chiropractor | 305 Se Chkalov Dr Ste 160, Vancouver, WA 98683-5291 | 2020-05-27 |
1013554856 | Mobile Chiropractic North West, Inc. | Chiropractor | 9403 Ne 116th Ave, Vancouver, WA 98662-2338 | 2019-11-27 |
1306489356 | Carina Staab | Chiropractor | 5419 Ne 52nd St, Vancouver, WA 98661-7838 | 2019-10-22 |
1962053512 | Theodore Pagel | Chiropractor | 1307 Ne 78th St Ste B-13, Vancouver, WA 98665-9672 | 2019-09-25 |
1942866769 | Raemaris Glenn | Chiropractor | 5101 Ne 48th St, Vancouver, WA 98661-2844 | 2019-05-16 |
1467919431 | Sherry Wang Leavitt | Chiropractor | 11015 Ne Fourth Plain Blvd Ste B, Vancouver, WA 98662-6314 | 2019-02-26 |
1639636822 | Hansen Chiropractic | Chiropractor | 7620 Ne 119th Pl Ste 100, Vancouver, WA 98682-4170 | 2019-02-25 |
1487151650 | Scott Edward Gross | Chiropractor | 9807 Ne 75th Cir, Vancouver, WA 98662-4643 | 2018-04-12 |
1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
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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.