CHERYL ANN DUVALL (NPI# 1750603338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750603338 |
| Entity Type | Individual |
| Full Name | CHERYL ANN DUVALL |
| Credential | RN, LMT |
| Practice Address |
19365 Sw 65th Ave Suite 104 Tualatin OR 97062-9196 |
| Practice Telephone | 5036997674 |
| Practice Fax Number | 5036997759 |
| Mailing Telephone | 5036997674 |
| Mailing Fax Number | 5036997759 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3858 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN LICENSE | 280922 | 01 |
| OR | LMT LICENSE | 3858 | 01 |
| RN LICENSE | 089006398RN | 01 |
| Street Address |
19365 SW 65TH AVE SUITE 104 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-9196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765117 | Janine L Dudley | Occupational Therapist | 19365 Sw 65th Ave, #200, Tualatin, OR 97062-9196 | 2005-07-26 |
| 1417471137 | Matthew Mckenzie Crauder | Massage Therapist | 19365 Sw 65th Ave, Tualatin, OR 97062-9196 | 2017-08-03 |
| 1285007005 | Charity G Hess | Chiropractor | 19365 Sw 65th Ave, Suite 104, Tualatin, OR 97062-9196 | 2015-11-02 |
| 1548632532 | Northwest Integrative Medicine, PC | Naturopath | 19365 Sw 65th Ave, Suite 209, Tualatin, OR 97062-9196 | 2015-10-29 |
| 1447626346 | Roger Cook | Counselor | 19365 Sw 65th Ave, Suite 206, Tualatin, OR 97062-9196 | 2015-08-13 |
| 1689040586 | Rdcforensics LLC | Counselor | 19365 Sw 65th Ave, Suite 206, Tualatin, OR 97062-9196 | 2015-08-13 |
| 1346587466 | Angela Bertsch | Massage Therapist | 19365 Sw 65th Ave, Ste. 104, Tualatin, OR 97062-9196 | 2013-01-09 |
| 1366769168 | Bns Services LLC | In Home Supportive Care | 19365 Sw 65th Ave, Suite 205, Tualatin, OR 97062-9196 | 2010-05-03 |
| 1225291164 | Jonathan Thomas Kinney | Chiropractor | 19365 Sw 65th Ave, Suite 104, Tualatin, OR 97062-9196 | 2008-07-09 |
| 1801059753 | Performance and Spine Chiropractic Center, LLC | Chiropractor | 19365 Sw 65th Ave, Suite 104, Tualatin, OR 97062-9196 | 2008-07-09 |
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|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1275701740 | Cardiology Consults LLC | Clinic/Center | 6787 Sw Wampanoag Dr, Tualatin, OR 97062 | 2008-02-18 |
| 1205459880 | Serenity Wellness Clinic LLC | Clinic/Center | 8555 Sw Tualatin Rd Ste B, Tualatin, OR 97062-8614 | 2020-05-18 |
| 1134558976 | Hale Health, LLC | Clinic/Center | 18813 Sw Martinazzi Ave, Tualatin, OR 97062-6807 | 2013-11-02 |
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| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1801451737 | Cephus Chiropractic LLC | Clinic/Center | 19755 Sw Tv Hwy, Aloha, OR 97003-2338 | 2019-05-06 |
| 1467934661 | Columbia River Health-pendleton High School Sbhc | Clinic/Center | 1800 Nw Carden Ave, Pendleton, OR 97801-1185 | 2018-09-04 |
| 1639651839 | Columbia River Health-sunridge Middle School Sbhc | Clinic/Center | 700 Sw Runnion Ave, Pendleton, OR 97801-9418 | 2018-09-04 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1538681408 | Golden Ribbon Acupuncture, LLC | Clinic/Center | 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 | 2017-07-12 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
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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.