MS. MOLLY PEARL OWEN PETERS (NPI# 1699039677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699039677 |
| Entity Type | Individual |
| Full Name | MS. MOLLY PEARL OWEN PETERS |
| Credential | L.M.T. |
| Practice Address |
818 Nw 17th Ave Suite 6 Portland OR 97209 |
| Practice Telephone | 6513072444 |
| Mailing Telephone | 6513072444 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18158 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1932752268 | Molly Peters | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2019-07-16 |
| 1790899557 | Molly S Peters | Obstetrics & Gynecology | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6258 | 2006-08-18 |
| Street Address |
818 NW 17TH AVE SUITE 6 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225085194 | Joseph Anthony Balsamo | Psychologist | 818 Nw 17th Ave, Portland, OR 97209-2327 | 2006-05-27 |
| 1073953014 | Tim John Hagge | Social Worker | 818 Nw 17th Ave, Suite 10, Portland, OR 97209-2327 | 2013-07-03 |
| 1427355270 | R. M. Andrews & Associates LLC | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2011-02-14 |
| 1750513487 | Robert M Andrews | Social Worker | 818 Nw 17th Ave, Suite 6, Portland, OR 97209-2327 | 2009-08-13 |
| 1053581702 | Ruth Friedel | Psychologist | 818 Nw 17th Ave, #2, Portland, OR 97209-2327 | 2008-03-10 |
| 1497893143 | Kimberly A Conrow | Counselor | 818 Nw 17th Ave, Suite 1, Portland, OR 97209-2327 | 2007-02-02 |
| 1043362163 | Lyn Mcneill Jenks | Psychologist | 818 Nw 17th Ave, Portland, OR 97209 | 2007-01-17 |
| 1316001886 | Joyce A. Korschgen, Lpc, PC | Counselor | 818 Nw 17th Ave, Suite #3, Portland, OR 97209-2327 | 2006-12-20 |
| 1275636680 | Ben Christopher Jew | Psychiatry & Neurology | 818 Nw 17th Ave, Suite #8, Portland, OR 97209-2327 | 2006-09-07 |
| 1073538021 | John Collins Flanagan | Counselor | 818 Nw 17th Ave, Suite 7, Portland, OR 97209-2327 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| 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 |
| Find all providers in PORTLAND | ||||
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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.