RUSLAN PEREDEREY (NPI# 1720502180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720502180 |
| Entity Type | Individual |
| Full Name | RUSLAN PEREDEREY |
| Practice Address |
3008 Sw Chastain Ave Gresham OR 97080-9613 |
| Practice Telephone | 5035722293 |
| Mailing Telephone | 5037578529 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60760768 | WA | Chiropractic Providers |
| Street Address |
3008 SW CHASTAIN AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1396978011 | Brent Alan Dixson | Chiropractor | 899 Ne Hogan Dr, Gresham, OR 97030-5825 | 2009-08-27 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on RUSLAN PEREDEREY.
| 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.