CHARITY M LICKFOLD (NPI# 1528671328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528671328 |
| Entity Type | Individual |
| Full Name | CHARITY M LICKFOLD |
| Credential | CPT, CNC |
| Practice Address |
580 Ne Poplar St Clatskanie OR 97016-7470 |
| Mailing Address |
Po Box 555 Clatskanie OR 97016-0555 |
| Practice Telephone | 2087047632 |
| Mailing Telephone | 2087047632 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
580 NE POPLAR ST |
| City | CLATSKANIE |
| State | OR |
| Zip Code | 97016-7470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912373499 | Tiamia Duckett | Counselor | 8715 Sw Center St, Tigard, OR 97016 | 2015-08-19 |
| 1386047231 | Kristen Ann Jepson | Dental Hygienist | 400 S.w. Belair Drive, Clatskanie, OR 97016 | 2014-10-07 |
| 1346535739 | Scott Aaron Smith | Dentist | 400 Sw Bel Air Drive, Clatskanie, OR 97016 | 2011-06-14 |
| 1740504422 | Clatskanie Family Medical Clinic, Inc. | Physician Assistant | 401 Belair Drive, Clatskanie, OR 97016 | 2010-03-24 |
| 1316158215 | Sheila Marie Landis | Chiropractor | 50 Nw 4th St, Clatskanie, OR 97016 | 2007-05-24 |
| 1669696308 | Cecelia W Sanders | Social Worker | 555 Sw Bryant, Clatskanie, OR 97016 | 2007-04-12 |
| 1528116175 | Clatskanie Rural Fire Protection District | Ambulance | 280 Se Third St., Clatskanie, OR 97016 | 2007-01-08 |
| 1578587192 | James H. Tyack Dmd PC | Dentist | 400 Sw Bel Air Dr, Clatskanie, OR 97016 | 2006-07-27 |
| 1699799973 | James Hal Tyack | Dentist | 400 Sw Bel Air Dr., Clatskanie, OR 97016 | 2006-07-27 |
| 1841255197 | Gregory Reed Mann | Dentist | 400 Sw Belair Drive, Clatskanie, OR 97016 | 2006-04-19 |
| Find all providers in zip 97016 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1134754633 | Zoey Louise Dahme | Specialist/Technologist | 9635 Sw 74th Ave, Tigard, OR 97223-9137 | 2020-03-05 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1891329884 | Johanna Claire Wilson | Specialist/Technologist | 222 Se 8th Ave # Hpc2, Hillsboro, OR 97123-4218 | 2020-02-27 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1225661754 | Mikayla Jeppsen | Specialist/Technologist | 470 Michael Way, Aumsville, OR 97325-8930 | 2020-02-12 |
| 1386276061 | Lesley Castillo | Specialist/Technologist | 10384 Ne Evergreen Pkwy Apt 31, Hillsboro, OR 97124-7857 | 2020-02-10 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1326670548 | Colin Michael Szabo Mulligan | Specialist/Technologist | 236 Kerr Administration Bldg, Corvallis, OR 97331-8578 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | CLATSKANIE |
| Zip Code | 97016 |
Please comment or provide details below to improve the information on CHARITY M LICKFOLD.
| 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.