COLETTE S. KIRKWOOD (NPI# 1700412475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700412475 |
| Entity Type | Individual |
| Full Name | COLETTE S. KIRKWOOD |
| Credential | OTR/L, CHT |
| Practice Address |
24900 Se Stark St Ste 106 Gresham OR 97030-3381 |
| Practice Telephone | 5036741123 |
| Mailing Telephone | 5036741123 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24900 SE STARK ST STE 106 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804048 | Gayla Ann Iwata-reuyl | Speech-Language Pathologist | 24900 Se Stark St Ste 106, Gresham, OR 97030-3381 | 2020-02-25 |
| 1558995795 | Claire Nicole Gubernator | Physical Therapist | 24900 Se Stark St Ste 106, Gresham, OR 97030-3381 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213474 | Ross Hubbard | Occupational Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-10-18 |
| 1760685085 | Jean H Barnes | Occupational Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2007-06-06 |
| 1760516025 | Ryan Douglas Glover Armworks Hand Therapy | Occupational Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639430887 | Carrie F. Meadowcroft | Occupational Therapist | 598 E. 13th Avenue, Eugene, OR 97401 | 2012-06-05 |
| 1861764003 | Sanders Hand Therapy, Inc | Occupational Therapist | 1914 Willamette Falls Dr Ste 210, West Linn, OR 97068-4689 | 2012-02-03 |
| 1033410709 | Marta Bogrand | Occupational Therapist | 2525 Nw Lovejoy St Ste 205, Portland, OR 97210-2863 | 2010-11-10 |
| 1962727545 | Willamette Hand Therapy, LLC | Occupational Therapist | 1711 Willamette St, Suite 302, Eugene, OR 97401-4014 | 2010-04-07 |
| 1235395252 | Jennifer Renee Allen | Occupational Therapist | 23070 Sw Lodgepole Ave, Tualatin, OR 97062-7609 | 2008-07-29 |
| 1477753291 | Rebound Physical Therapy, LLC | Occupational Therapist | 61470 S Highway 97, Suite 4, Bend, OR 97702-2187 | 2007-07-19 |
| 1225190994 | Hands On Upper Extremity Rehab LLC | Occupational Therapist | 17020 Sw Upper Boones Ferry Rd, Suite 102, Portland, OR 97224-7078 | 2006-12-15 |
| 1427128834 | Eugene Hand Therapy Clinic LLC | Occupational Therapist | 2866 Crescent Ave, Suite 107, Eugene, OR 97408-7342 | 2006-11-09 |
| 1700891165 | Ryan Douglas Glover Armworks Hand Therapy | Occupational Therapist | 11300 Ne Halsey St Ste 102, Portland, OR 97220-2013 | 2006-07-31 |
| 1881662914 | Janet Mary Sanders | Occupational Therapist | 2213 Country Club Rd, Woodburn, OR 97071-2811 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
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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.