JULIA MORTLOCK (NPI# 1639508831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639508831 |
| Entity Type | Individual |
| Full Name | JULIA MORTLOCK |
| Credential | ND, LAC |
| Practice Address |
16904 Se 1st St Vancouver WA 98684-8511 |
| Mailing Address |
7121 Sw 29th Ave Portland OR 97219-1907 |
| Practice Telephone | 5419796467 |
| Mailing Telephone | 5419796467 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2015-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC164766 | OR | Other Service Providers |
| N | 171100000X | Acupuncturist | AC60416884 | WA | Other Service Providers |
| N | 175F00000X | Naturopath | 2012 | OR | Other Service Providers |
| Y | 175F00000X | Naturopath | NT60416820 | WA | Other Service Providers |
| Street Address |
16904 SE 1ST ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-8511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578974747 | Dr Angela Knapp Nd | Clinic/Center | 16904 Se 1st St, Suite 104, Vancouver, WA 98684-8511 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759230 | Valeria M Panibratets | Naturopath | 10411 Ne 21st Ct, Vancouver, WA 98686-5990 | 2020-10-30 |
| 1376140418 | Lana Michelle Ferris | Naturopath | 1404 Ne 134th St Ste 180c, Vancouver, WA 98685-2799 | 2020-10-01 |
| 1740801802 | Patricia Lynn Tang | Naturopath | 1609 Se 170th Ave, Vancouver, WA 98683-3451 | 2020-04-29 |
| 1154964476 | Rebecca Jo Thurman | Naturopath | 3606 Main St Ste 100, Vancouver, WA 98663-2235 | 2019-10-18 |
| 1639712979 | Rebecca Eleanor Zeff | Naturopath | 3606 Main St Ste 201, Vancouver, WA 98663-2235 | 2019-10-18 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1144616244 | Sabah Targhi | Naturopath | 6204 Ne Highway 99 Ste E, Vancouver, WA 98665-8746 | 2015-04-15 |
| 1649695354 | Redwood Clinic | Naturopath | 7017 Ne Highway 99 Ste 210, Vancouver, WA 98665-0553 | 2014-03-04 |
| 1710316369 | Angela Mulligan Knapp | Naturopath | 5212 Ne 109th Court, Suite I, Vancouver, WA 98662-3258 | 2013-11-04 |
| 1023442712 | Ariel Mastrich | Naturopath | 5512 Ne 109th Ct Ste A1, Vancouver, WA 98662-6175 | 2013-08-29 |
| Find all providers in VANCOUVER | ||||
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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.