MARISSA KAYANN PHILLIPS (NPI# 1598179194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598179194 |
| Entity Type | Individual |
| Full Name | MARISSA KAYANN PHILLIPS |
| Practice Address |
3716 Se International Way Milwaukie OR 97222-6001 |
| Mailing Address |
7084 Se Cypress Ave Portland OR 97267-3329 |
| Practice Telephone | 5036590073 |
| Mailing Telephone | 5037355827 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19368 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898491 | Marissa Phillips | Behavior Technician | 2675 Court Dr, Gastonia, NC 28054-1478 | 2020-10-15 |
| Street Address |
3716 SE INTERNATIONAL WAY |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174564934 | Milwaukie Chiropractic Center | Chiropractor | 3716 Se International Way, Milwaukie, OR 97222 | 2006-06-10 |
| 1558973594 | Joseph Timothy Myers | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2020-08-20 |
| 1881229862 | Ashley Diane Lee | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2020-03-10 |
| 1922599471 | Carrie Lynn Hale | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2018-05-21 |
| 1942701628 | Tanner Johns | Chiropractor | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2018-02-27 |
| 1205347440 | Kevin Yurkish | Chiropractor | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2017-10-16 |
| 1649795915 | Sarah Chaltraw | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2017-08-08 |
| 1780114983 | Jennifer Primers | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222-6001 | 2017-06-20 |
| 1841655107 | Kimberly Rogers | Massage Therapist | 3716 Se International Way, Milwaukie, OR 97222 | 2015-12-30 |
| 1417333097 | Kendel Jordan Bratcher | Specialist | 3716 Se International Way, Milwaukie, OR 97222 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205379096 | Rebecca Ducore | Specialist | 4341 Se Rockwood St, Milwaukie, OR 97222-5007 | 2016-11-28 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| 1598068538 | Kimberly Elizabeth Kimber | Specialist | 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222-7759 | 2010-12-14 |
| 1255651600 | Patrice A Tilka | Specialist | 2080 Se Oak Grove Blvd # 8b, Milwaukie, OR 97267-2657 | 2010-06-08 |
| 1912059601 | Heather M Harris | Specialist | 10600 Se Mcloughlin Blvd, Suite 206, Milwaukie, OR 97222-7428 | 2007-01-16 |
| 1912358409 | Jessica Fong | Specialist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2016-06-25 |
| 1417333097 | Kendel Jordan Bratcher | Specialist | 3716 Se International Way, Milwaukie, OR 97222 | 2015-08-05 |
| 1730579822 | Kaila Duke | Specialist | 3880 Se Harrison St, Milwaukie, OR 97222-5899 | 2015-01-28 |
| 1184049918 | Barbara S Mallett,md PC | Specialist | 6542 Se Lake Rd, Suite 202, Milwaukie, OR 97222-2244 | 2014-03-04 |
| 1528313814 | Mary Florence Boyd | Specialist | 2100 Se Lake Rd, Milwaukie, OR 97222-7759 | 2012-07-23 |
| 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.