MR. STEVE MASUICHI NAKANO (NPI# 1639150428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639150428 |
Entity Type | Individual |
Full Name | MR. STEVE MASUICHI NAKANO |
Credential | P.T. |
Practice Address |
9250 Sw Hall Blvd Tigard OR 97223 |
Mailing Address |
800 Sw 13th Ave Portland OR 97205-1902 |
Practice Telephone | 5032930161 |
Practice Fax Number | 5034523208 |
Mailing Telephone | 5032210161 |
Mailing Fax Number | 5034523208 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2018-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2719 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 227892 | 05 | |
OR | MEDICARE DME NUMBER | 5467820001 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
5005 Ne Sandy Blvd, Portland, OR 972131941 | 5032336940 |
Street Address |
9250 SW HALL BLVD |
City | TIGARD |
State | OR |
Zip Code | 97223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023005410 | Michael Shihjay Chen | Family Medicine | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2005-09-30 |
1861904658 | Donna Marie-rogers Lane | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-11-01 |
1811411291 | Tina Louise Landeros | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2017-07-27 |
1558613414 | Katherine Claire Hammond | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2012-10-02 |
1811273402 | Dana L Marasco | Physical Therapist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2011-10-26 |
1326353988 | Barbara Jean Harris | Audiologist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-08-06 |
1255644589 | Leigh Hoagland Reece | Physical Therapist | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-07-15 |
1841501269 | Melinda Lee Meeker | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-06-30 |
1336468404 | Burkley Snow | Surgery | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 | 2010-05-27 |
1699905836 | Junko Lee | Nurse Practitioner | 9250 Sw Hall Blvd, Tigard, OR 97223 | 2009-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
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Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
1437516515 | Caleb Joseph Wright | Physical Therapist | 8628 Se 17th Ave, Portland, OR 97202-0000 | 2016-01-20 |
1134584774 | Active Edge Physical Therapy, LLC | Physical Therapist | 19721 S Highway 213, Oregon City, OR 97045-4190 | 2015-12-28 |
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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.