SHANNON THARP (NPI# 1588937783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588937783 |
| Entity Type | Individual |
| Full Name | SHANNON THARP |
| Credential | LMT. |
| Practice Address |
16331 Se Vineyard Ln Apt 2 Milwaukie OR 97267-4722 |
| Practice Telephone | 5034197173 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13036 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306329131 | Shannon R Tharp | Respiratory Therapist, Certified | 8309 Flythe Mill Rd, Fort Worth, TX 76120-2021 | 2018-09-07 |
| 1407149248 | Shannon Lee Tharp | Pharmacist | 1010 Glenbrook Way, Hendersonville, TN 37075-1230 | 2011-05-26 |
| 1497960637 | Shannon Tharp | Occupational Therapist | 1531 Nebraska St, Mound City, MO 64470-1610 | 2007-05-11 |
| Street Address |
16331 SE VINEYARD LN APT 2 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97267-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
| 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 |
|---|---|---|---|---|
| 1073159661 | Jessica Bach | Massage Therapist | 3365 Se Floss St, Milwaukie, OR 97222-5636 | 2019-11-19 |
| 1346700226 | Alleana Franciss Molina Tran | Massage Therapist | 4139 Se Jackson St, Milwaukie, OR 97222-5935 | 2019-03-25 |
| 1376012542 | Janine Elise Zeller | Massage Therapist | 4493 Se Roethe Rd Apt D, Milwaukie, OR 97267-5711 | 2018-11-17 |
| 1043793979 | Jenna Lynn Bradshaw | Massage Therapist | 3305 Se Sellwood St, Milwaukie, OR 97222-6743 | 2018-09-06 |
| 1528585114 | Amanda Gordon Carey | Massage Therapist | 2100 Se Lake Rd Ste 2, Milwaukie, OR 97222-7759 | 2017-08-24 |
| 1255888616 | Gwen Manlove Esthetician & Massage Therapist | Massage Therapist | 2025 Se Jefferson St # 103, Milwaukie, OR 97222-7605 | 2016-09-02 |
| 1144773532 | Jaaro Massage | Massage Therapist | 5366 Se Alderway Ave, Milwaukie, OR 97267-5005 | 2016-08-02 |
| 1205289964 | Nelly Perry | Massage Therapist | 12600 Se Freeman Way, Unit 19, Milwaukie, OR 97222-4650 | 2016-07-18 |
| 1346692530 | Amy Topham | Massage Therapist | 11313 Se 31st Ave, Milwaukie, OR 97222-6713 | 2016-07-12 |
| 1265882575 | Lenka Dresselhaus | Massage Therapist | 6542 Se Lake Rd Ste 106, Milwaukie, OR 97222-2245 | 2016-06-16 |
| Find all providers in MILWAUKIE | ||||
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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.