ELK ROCK WELLNESS (NPI# 1699195073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699195073 |
| Entity Type | Organization |
| Organization Name | ELK ROCK WELLNESS |
| Practice Address |
2403 Se Monroe St Ste B Milwaukie OR 97222-7646 |
| Practice Telephone | 5033034078 |
| Mailing Telephone | 5033034078 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | LESLEY SARIO (OWNER) |
| Authorized Official Telephone | 5033034078 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | 12973 | OR | Other Service Providers |
| Y | 225700000X | Massage Therapist | 12973 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DBA | 100640994 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELK ROCK WELLNESS LLC | 2403 Se Monroe Ste B, Milwaukie, OR 97222 |
| Street Address |
2403 SE MONROE ST STE B |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255751392 | Kayla Stewart | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2014-04-16 |
| 1952862427 | Alison Gayle Boyce | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2019-03-27 |
| 1427512037 | Louise Carlson | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2019-01-28 |
| 1720560105 | Melissa Dawn Haight | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2018-09-03 |
| 1548760796 | Eric Martin Vanleeuwen | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2018-02-14 |
| 1619482460 | Jessica D Raymond | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2017-12-01 |
| 1619371796 | Lesley Sario | Massage Therapist | 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1073159661 | Jessica Bach | Massage Therapist | 3365 Se Floss St, Milwaukie, OR 97222-5636 | 2019-11-19 |
| 1346700226 | Alleana Franciss Molina Tran | Massage Therapist | 4139 Se Jackson St, Milwaukie, OR 97222-5935 | 2019-03-25 |
| 1376012542 | Janine Elise Zeller | Massage Therapist | 4493 Se Roethe Rd Apt D, Milwaukie, OR 97267-5711 | 2018-11-17 |
| 1043793979 | Jenna Lynn Bradshaw | Massage Therapist | 3305 Se Sellwood St, Milwaukie, OR 97222-6743 | 2018-09-06 |
| 1528585114 | Amanda Gordon Carey | Massage Therapist | 2100 Se Lake Rd Ste 2, Milwaukie, OR 97222-7759 | 2017-08-24 |
| 1255888616 | Gwen Manlove Esthetician & Massage Therapist | Massage Therapist | 2025 Se Jefferson St # 103, Milwaukie, OR 97222-7605 | 2016-09-02 |
| 1144773532 | Jaaro Massage | Massage Therapist | 5366 Se Alderway Ave, Milwaukie, OR 97267-5005 | 2016-08-02 |
| 1205289964 | Nelly Perry | Massage Therapist | 12600 Se Freeman Way, Unit 19, Milwaukie, OR 97222-4650 | 2016-07-18 |
| 1346692530 | Amy Topham | Massage Therapist | 11313 Se 31st Ave, Milwaukie, OR 97222-6713 | 2016-07-12 |
| 1265882575 | Lenka Dresselhaus | Massage Therapist | 6542 Se Lake Rd Ste 106, Milwaukie, OR 97222-2245 | 2016-06-16 |
| Find all providers in MILWAUKIE | ||||
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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.