MS. CLARISSA J WINN (NPI# 1699922989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699922989 |
| Entity Type | Individual |
| Full Name | MS. CLARISSA J WINN |
| Credential | LMT |
| Practice Address |
4180 Sw 110th Ave Beaverton OR 97005 |
| Practice Telephone | 5035263450 |
| Practice Fax Number | 5035263540 |
| Mailing Telephone | 5035263450 |
| Mailing Fax Number | 5035263540 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 11375 | OR | Other Service Providers |
| Street Address |
4180 SW 110TH AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734340 | Lola Reed | Mechanotherapist | 8283 Sw Cirrus Dr, Beaverton, OR 97008-5997 | 2018-06-21 |
| 1639560352 | Jeffery Beale | Mechanotherapist | 4650 Sw Mueller Dr, #d304, Beaverton, OR 97078-2506 | 2015-02-17 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| 1003180928 | Micah Lee | Mechanotherapist | 1574 Sw 175th Ave, Beaverton, OR 97006-7635 | 2012-02-24 |
| 1730418054 | Brittney J Mcalmond | Mechanotherapist | 15290 Sw Sparrow Loop, Apt 103, Beaverton, OR 97007-9268 | 2009-12-15 |
| 1114255940 | Alyssa Young | Mechanotherapist | 3849 Sw Hall Blvd., Beaverton, OR 97005 | 2009-12-07 |
| 1538216114 | Sheila Annette Montgomery | Mechanotherapist | 5035 Sw 141st Ave, Beaverton, OR 97005-3744 | 2007-01-04 |
| 1942733522 | Virginia Arendt | Mechanotherapist | 16315 Sw Barrows Rd, 203a, Beaverton, OR 97007-9461 | 2017-04-10 |
| 1861746760 | Caelie Jaye Winchester | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007-1912 | 2012-10-31 |
| 1457644916 | Samantha E Kreizenbeck | Mechanotherapist | 2155 Nw 173rd Ave, Suite 103, Beaverton, OR 97006-3563 | 2011-05-17 |
| Find all providers in BEAVERTON | ||||
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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.