MS. JULIANN ADELE SQUIRES (NPI# 1619340742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619340742 |
| Entity Type | Individual |
| Full Name | MS. JULIANN ADELE SQUIRES |
| Credential | LMT |
| Practice Address |
1235 Se Division St Suite 206 Portland OR 97202-1099 |
| Mailing Address |
2840 Se 31st Ave Portland OR 97202-1408 |
| Practice Telephone | 5034476879 |
| Mailing Telephone | 5034476879 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 15482 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1235 SE DIVISION ST SUITE 206 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730154154 | Jennifer Lyn Wallace | Family Medicine | 1235 Se Division St, Suite 208, Portland, OR 97202-1099 | 2006-02-20 |
| 1124563440 | Aria Walker, Lac | Clinic/Center | 1235 Se Division St, Suite 206, Portland, OR 97202-1099 | 2016-12-21 |
| 1891152047 | Ryan D Grassmann | Counselor | 1235 Se Division St, Suite 207, Portland, OR 97202-1099 | 2016-01-19 |
| 1760857668 | Sibyl Amber Voelker | Acupuncturist | 1235 Se Division St, Suite 206, Portland, OR 97202-1099 | 2015-12-04 |
| 1700257292 | Mauri Danielle Castle Myers | Marriage & Family Therapist | 1235 Se Division St, Suite 111, Portland, OR 97202-1099 | 2015-10-09 |
| 1881011310 | Jennifer Thomas | Speech-Language Pathologist | 1235 Se Division St, Suite 204, Portland, OR 97202-1099 | 2014-03-21 |
| 1609291269 | Marsha Sharyn Cristales-fontaine | Counselor | 1235 Se Division St, Portland, OR 97202-1099 | 2014-02-19 |
| 1174950455 | Meghan A Marty | Psychologist | 1235 Se Division St, Ste 115, Portland, OR 97202-1085 | 2013-10-02 |
| 1013260868 | Nora Grod Lac LLC | Acupuncturist | 1235 Se Division St, Ste 106a, Portland, OR 97202-1042 | 2012-10-17 |
| 1003188418 | Monicka April Koneski | Massage Therapist | 1235 Se Division St, Suite 203b, Portland, OR 97202-1099 | 2012-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| 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 |
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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.