AMY J STARK (NPI# 1538456850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538456850 |
Entity Type | Individual |
Full Name | AMY J STARK |
Credential | LMT |
Practice Address |
6312 N Oberlin St Portland OR 97203-4153 |
Practice Telephone | 5035040294 |
Mailing Telephone | 5035040294 |
Enumeration Date | 2011-07-07 |
Last Update Date | 2011-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 15818 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093882854 | Amy Louise Stark | Psychologist | 940 W 17th St, Unit C, Santa Ana, CA 92706-4501 | 2006-11-29 |
1053972554 | Amy J. Stark | Social Worker | 12141 Ladue Rd., Saint Louis, MO 63141-8120 | 2019-06-25 |
1992233548 | Amy Jean Stark | Counselor | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2017-05-26 |
1750819447 | Amy Marie Stark | Registered Nurse | 901 E 104th St, Kansas City, MO 64131 | 2017-05-25 |
1477098754 | Amy Stark | Nurse Practitioner | 525 N Keene St, Columbia, MO 65201-6967 | 2016-12-22 |
1528438546 | Amy Stark | Psychologist | 462 Herndon Pkwy, Suite 202, Herndon, VA 20170-5233 | 2015-10-02 |
1376988378 | Amy Leigh Stark | Psychiatry & Neurology | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2013-05-03 |
1437464294 | Amy Stark | Dentist | 606 24th Ave S Ste 200, Minneapolis, MN 55454-1437 | 2010-08-17 |
1063593408 | Amy Stark | Occupational Therapist | 9699 W Sample Rd, Coral Springs, FL 33065-4001 | 2006-10-18 |
Street Address |
6312 N OBERLIN ST |
City | PORTLAND |
State | OR |
Zip Code | 97203-4153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
Find all providers in zip 97203 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
Find all providers in PORTLAND |
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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.