ALEXIS EXTINE (NPI# 1699291344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699291344 |
| Entity Type | Individual |
| Full Name | ALEXIS EXTINE |
| Practice Address |
6504 Ne Siskiyou St Portland OR 97213-4572 |
| Mailing Address |
1958 Ne 72nd Ave Portland OR 97213-5358 |
| Practice Telephone | 5033273819 |
| Mailing Telephone | 7075436955 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225700000X | Massage Therapist | 23528 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6504 NE SISKIYOU ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851355044 | Peter G Coppola | Physical Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2006-04-14 |
| 1336701820 | Earl Temp | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2019-07-03 |
| 1508357237 | Jennifer Dyann Zurita-rodriguez | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97217 | 2018-05-29 |
| 1033623418 | Amanda Jean Graves | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2017-11-21 |
| 1497267652 | Valorie June Wallace | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2017-10-27 |
| 1831638493 | Sarah Wynne Davison | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2017-02-15 |
| 1568910867 | Jill Archer | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2016-09-14 |
| 1104370352 | Pdx Healing Massage Inc. | Reflexologist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2016-08-04 |
| 1114394079 | Anthony Michael Lopez | Community Health Worker | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2015-08-27 |
| 1487063921 | Whole You, LLC | Occupational Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2014-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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.