STEPHANIE NANI, DO LLC (NPI# 1619285293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619285293 |
| Entity Type | Organization |
| Organization Name | STEPHANIE NANI, DO LLC |
| Practice Address |
15962 Boones Ferry Road Suite 204 Lake Oswego OR 97035 |
| Practice Telephone | 5038506935 |
| Mailing Telephone | (503) 850-6935 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | DR. STEPHANIE NANI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5038506935 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | DO175986 | OR | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 20A8801 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | DO175986 | OR | Allopathic & Osteopathic Physicians |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO175986 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
15962 BOONES FERRY ROAD SUITE 204 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033323936 | Paul Stanley Miller | Neuromusculoskeletal Medicine & OMM | 3701 Carman Dr, Lake Oswego, OR 97035-2503 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1891165544 | Still Point Osteopathy and Medical Acupuncture, LLC | Neuromusculoskeletal Medicine & OMM | 2955 N Highway 97, Bend, OR 97703-7559 | 2015-10-06 |
| 1336549179 | Anna Lobzova | Neuromusculoskeletal Medicine & OMM | 3620 Nw Samaritan Dr Ste 203a, Corvallis, OR 97330-4714 | 2014-08-29 |
| 1508203332 | Brian Moreaux | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd Ste 7, Ashland, OR 97520-2125 | 2013-06-03 |
| 1427301035 | Patrick J Wedlake Do PC | Neuromusculoskeletal Medicine & OMM | 85o Siskiyou Blvd, Ste 9, Ashland, OR 97520-2125 | 2012-10-19 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
| 1063589323 | Paul E Dart | Neuromusculoskeletal Medicine & OMM | 3495 Harris Street, Eugene, OR 97405-4248 | 2006-11-29 |
| 1629147400 | Paula Lorene Eschtruth | Neuromusculoskeletal Medicine & OMM | 1320 Edgewater St Nw, Suite 110, Salem, OR 97304 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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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.