HILARY PORTER (NPI# 1720642911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720642911 |
Entity Type | Individual |
Full Name | HILARY PORTER |
Credential | LMP |
Practice Address |
2400 Broadway St Vancouver WA 98663-3229 |
Practice Telephone | 3609044999 |
Practice Fax Number | 3603261797 |
Mailing Telephone | 3609044999 |
Mailing Fax Number | 3603261797 |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-04-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60876305 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE DEPARTMENT OF HEALTH | MA60876305 | 01 |
Street Address |
2400 BROADWAY ST |
City | VANCOUVER |
State | WA |
Zip Code | 98663-3229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508053737 | Susan D Overand | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2007-10-02 |
1073112041 | Elizabeth Syverson | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2020-10-21 |
1891393161 | Corrin L Hanke | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2020-10-09 |
1467019372 | Ada Victoria Taylor | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2019-05-27 |
1730694357 | Evan Dial Hershberger | Acupuncturist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2017-12-05 |
1043751589 | Rosemary Ward | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2017-03-16 |
1720537525 | Journey Integrative Medicine | Acupuncturist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2016-09-22 |
1023463569 | Alejandro Lopez | Reflexologist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2016-05-03 |
1851766315 | Elizabeth Magluyan Hartwig | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2015-12-09 |
1912381963 | Geppina Scrigna | Massage Therapist | 2400 Broadway St, Vancouver, WA 98663-3229 | 2015-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
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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 |
---|---|---|---|---|
1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
1205469871 | Gary James Wartella II | Massage Therapist | 21201 Ne 58th St Unit 1, Vancouver, WA 98682-9660 | 2020-02-21 |
1114550126 | Alexander J Lindo | Massage Therapist | 2125 E 8th St, Vancouver, WA 98661-4301 | 2020-02-18 |
1659918472 | Mckenzi Roulette | Massage Therapist | 4000 Ne 109th Ave Unit 68, Vancouver, WA 98682-5718 | 2019-12-01 |
1487297313 | Rachel Ann Tudor | Massage Therapist | 9618 Ne Fourth Plain Blvd, Vancouver, WA 98662-6107 | 2019-10-23 |
1982245064 | Andrea Joy | Massage Therapist | 1401 Se 164th Ave Ste 130, Vancouver, WA 98683-9612 | 2019-09-30 |
1083265722 | Rob Elmer William Anderson | Massage Therapist | 6509 Ne 45th Way, Vancouver, WA 98661-2893 | 2019-09-24 |
1366092132 | Rooted Spruce Massage and Bodywork | Massage Therapist | 120 Ne 117th Ave Rm 8, Vancouver, WA 98684-5020 | 2019-09-13 |
1477106581 | Steven J Zerfing | Massage Therapist | 4903 Ne St James Rd Apt 30, Vancouver, WA 98663-1900 | 2019-07-17 |
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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.