DR. MEGAN ANGELINE REID GOMEZ (NPI# 1710414420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710414420 |
| Entity Type | Individual |
| Full Name | DR. MEGAN ANGELINE REID GOMEZ |
| Credential | DC |
| Practice Address |
1217 Ne Burnside Rd Ste 301 Gresham OR 97030-6722 |
| Mailing Address |
1217 Ne Burnside Rd Ste 301 Gresham OR 97030 |
| Practice Telephone | 5034922625 |
| Mailing Telephone | 5034922625 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5819 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TYPE 2 NPI | 1013289735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816710 | Megan Michelle Gomez | Behavior Technician | 475 W 260 N, Orem, UT 84057-1970 | 2018-03-26 |
| 1033584776 | Megan Elise Gomez | Psychologist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-12-07 |
| 1801114434 | Megan Irene Gomez | Counselor | 85 Ramona Expy, Suite 1-4, Perris, CA 92571-7014 | 2010-05-06 |
| Street Address |
1217 NE BURNSIDE RD STE 301 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541995 | Richard Boyd Phipps | Dermatology | 1217 Ne Burnside Rd, Suite 704, Gresham, OR 97030-6722 | 2005-07-08 |
| 1912443854 | Caterina Elana Robertson | Registered Nurse | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2017-01-17 |
| 1528422797 | Brooke Braga | Massage Therapist | 1217 Ne Burnside Rd, Ste # 301, Gresham, OR 97030-6722 | 2016-04-13 |
| 1407237787 | Patricia Paquette | Contractor | 1217 Ne Burnside Rd, Suite 701, Gresham, OR 97030-6722 | 2015-06-12 |
| 1023403649 | Kelley Schmautz | Massage Therapist | 1217 Ne Burnside Rd, Suite 701-d, Gresham, OR 97030-6722 | 2015-03-31 |
| 1922410224 | Jessica L Ulmer | Massage Therapist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2014-05-21 |
| 1982015160 | Erik Wold | Massage Therapist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-6722 | 2014-05-09 |
| 1013289735 | Balance Health & Injury Clinic, PC | Acupuncturist | 1217 Ne Burnside Rd, Suite 301, Gresham, OR 97030-5705 | 2012-01-27 |
| 1851546139 | Nicole E Warren | Counselor | 1217 Ne Burnside Rd, Gresham, OR 97030-6722 | 2008-11-30 |
| 1114172285 | Shayna Carter | Counselor | 1217 Ne Burnside Rd, Building B, Suite 401, Gresham, OR 97030-6722 | 2008-11-17 |
| Find all providers in the same location | ||||
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502180 | Ruslan Perederey | Chiropractor | 3008 Sw Chastain Ave, Gresham, OR 97080-9613 | 2017-07-27 |
| 1922473719 | Amplife Chiropractic and Sports Chiropractic | Chiropractor | 355 Ne 223rd Ave, Gresham, OR 97030-8554 | 2015-12-05 |
| 1972996874 | Kari Johnston | Chiropractor | 1167 Nw Wallula Avenue, #316, Gresham, OR 97030 | 2015-03-17 |
| 1386047751 | Sylas Takamune | Chiropractor | 2519 W Powell Blvd, Gresham, OR 97030-6413 | 2014-09-30 |
| 1780923532 | Aspire Chiropractic & Massage Inc. | Chiropractor | 22124 Ne Glisan St, Gresham, OR 97030-8553 | 2013-02-13 |
| 1922370543 | Jordan William Wilde | Chiropractor | 191 Se Stark Street, Gresham, OR 97233-8386 | 2012-01-27 |
| 1487948212 | Delplato Chiropractic, PC | Chiropractor | 25500 Se Stark St Ste 201b, Gresham, OR 97030-8328 | 2011-06-09 |
| 1063704427 | Renewal Centers | Chiropractor | 1240 Ne Burnside Rd, Gresham, OR 97030-5713 | 2011-05-04 |
| 1326358417 | Shelley Anne Sheridan | Chiropractor | 250 Nw Norman Ave, Gresham, OR 97030-6953 | 2010-10-07 |
| 1528384625 | Aaron Montgomery | Chiropractor | 1304 Nw Civic Dr, Gresham, OR 97030-5569 | 2010-04-14 |
| Find all providers in GRESHAM | ||||
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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.