MICHAELEEN GONZALEZ (NPI# 1588019574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588019574 |
Entity Type | Individual |
Full Name | MICHAELEEN GONZALEZ |
Credential | LMT |
Practice Address |
1775 Washburn Way Suite A Klamath Falls OR 97603-4304 |
Practice Telephone | 5418872507 |
Practice Fax Number | 5418872508 |
Mailing Telephone | 5418872507 |
Mailing Fax Number | 5418872508 |
Enumeration Date | 2016-04-27 |
Last Update Date | 2016-04-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 21988 | OR | Managed Care Organizations |
Street Address |
1775 WASHBURN WAY SUITE A |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97603-4304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982014999 | Body Pro Clinic, Inc. | Physical Therapist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2014-04-29 |
1124473798 | Stillwater Spa & Wellness Center | Specialist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2016-05-02 |
1639579444 | Elena Peters | Massage Therapist | 1775 Washburn Way, Klamath Falls, OR 97603-4304 | 2014-08-28 |
1912319203 | Lieta Kathleen Taysom | Massage Therapist | 1775 Washburn Way, Suite A., Klamath Falls, OR 97603-4304 | 2014-05-21 |
1538579479 | Sarah Beth Matchett | Massage Therapist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2014-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
Find all providers in zip 97603 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184091209 | Stillwater Spa & Wellness Center | Point of Service | 1775 Washburn Way Ste A, Klamath Falls, OR 97603-4304 | 2015-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185619 | Advanced Hearing Solutions | Point of Service | 3468 Robert Ave Ne, Salem, OR 97301-7725 | 2020-02-05 |
1841853553 | Stars Interpreters LLC | Point of Service | 895 20th St Se, Salem, OR 97301-9698 | 2019-04-18 |
1023559572 | Michelle Berry | Point of Service | 532 N Bryant St, Portland, OR 97217-1771 | 2017-03-16 |
1740635713 | Restore Massage Pdx LLC | Point of Service | 14833 Sw 72nd Ave, Tigard, OR 97224-7911 | 2016-04-27 |
1265826820 | J-well Pilates Rehab Studio | Point of Service | 310 E California St Unit B, Jacksonville, OR 97530-9414 | 2015-03-22 |
1659644912 | Iqh Integrated Quality Healthcare | Point of Service | 11155 Ne Halsey St, Portland, OR 97220-2024 | 2012-02-17 |
1881871788 | Soraya A Abbassian Md LLC | Point of Service | 10373 Ne Hancock St Ste 117, Portland, OR 97220-3873 | 2008-01-23 |
1770789414 | Good Neighbor Care Eugene, LLC | Point of Service | 2630 Lone Oak Way, Eugene, OR 97404-2547 | 2007-06-21 |
1891998084 | Timberwood Assisted Living, LLC | Point of Service | 1090 Gateway Loop, Springfield, OR 97477-1113 | 2007-06-06 |
1649484759 | Five Rivers Assisted Living and Retirement Commmunity, LLC | Point of Service | 3200 State Street, Suite 200, Salem, OR 97301 | 2007-05-09 |
Find all providers with the same taxonomy |
City | KLAMATH FALLS |
Zip Code | 97603 |
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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.