TYLER RICHARD ROSE


Address: 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308
Phone: 5034540782

TYLER RICHARD ROSE (NPI# 1487202131) 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) 1487202131
Entity Type Individual
Full Name TYLER RICHARD ROSE
Credential LMT
Practice Address 11804 Se Sunnyside Rd
Clackamas
OR 97015-9308
Practice Telephone 5034540782
Practice Fax Number 8665776285
Mailing Telephone 5034540782
Mailing Fax Number 8665776285
Enumeration Date 2019-08-27
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 25286 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers TYLER ROSE

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1730715814 Tyler Rose Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 116 South Mill Creek Court, Woodstock, GA 30188 2020-03-20
1942668389 Tyler Rose Optometrist 5961 Los Altos Pkwy, Ste 101, Sparks, NV 89436-2501 2016-01-30

Office Location

Street Address 11804 SE SUNNYSIDE RD
City CLACKAMAS
State OR
Zip Code 97015-9308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598912503 Jennifer Leanne Mchattie Chiropractor 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2008-08-20
1023629896 Toes In The Water Wellness LLC Chiropractor 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2020-08-13
1871056200 Amber Nicole Clark Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2019-04-11
1932642576 Cody Cantwell Chiropractor 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2016-11-30
1548621022 Destini Chlopek Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2016-03-11
1528440260 Jaime Michael Chiropractor 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2015-06-18
1801276688 Empowered Health Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2015-06-05
1932507480 Lisa Hoeck Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2014-12-16
1518390889 Jamie Gene Baker Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2013-08-09
1134566110 Mary Suzanne Christ Massage Therapist 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 2013-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184247041 Urban Massage LLC Massage Therapist 13043 Se 84th Ave, Clackamas, OR 97015-9798 2020-05-26
1265065205 April Lee Massage Therapist 12010 Se Sunnyside Rd, Clackamas, OR 97015-8381 2020-02-18
1447812706 Amanda Marie Drakulich Massage Therapist 9126 Se Saint Helens St # 100a, Clackamas, OR 97015-9780 2019-07-07
1396213104 Todd Garretson Massage Therapist 8800 Se Sunnyside Rd Ste 253s, Clackamas, OR 97015-5702 2018-11-09
1881185734 Yuelian Gan White Massage Therapist 16054 Se 82nd Dr, Clackamas, OR 97015-9567 2018-05-27
1205291432 Stephen Weis Massage Therapist 10117 Se Sunnyside Rd Ste F206, Clackamas, OR 97015-7708 2015-12-14
1386021137 Holly Petersen Massage Therapist 15081 Se 126th Ave, Clackamas, OR 97015-9257 2015-04-30
1679998330 Imuya Lee Dooley Mcdaniel Massage Therapist 14010 Se 97th Ave, Clackamas, OR 97015-8660 2014-03-04
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
1831442136 Jason M Hardy Massage Therapist 8880 Se Casablanca Ct., Clackamas, OR 97015 2012-10-24
Find all providers in CLACKAMAS

Competitor

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City CLACKAMAS
Zip Code 97015

Improve Information

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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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