QUINN ORION MOLLOY (NPI# 1760018782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760018782 |
Entity Type | Individual |
Full Name | QUINN ORION MOLLOY |
Credential | LMT |
Practice Address |
4265 Sw 109th Ave Beaverton OR 97005-3028 |
Mailing Address |
9785 Sw Lookout Ter Apt B Beaverton OR 97008-8383 |
Practice Telephone | 5035268600 |
Mailing Telephone | 9713710223 |
Enumeration Date | 2020-03-21 |
Last Update Date | 2020-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 25827 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4265 SW 109TH AVE |
City | BEAVERTON |
State | OR |
Zip Code | 97005-3028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639117336 | Dennis Nowack | Chiropractor | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2006-06-03 |
1457846669 | Brian Michael O'neill | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2018-06-29 |
1598258410 | Angelique Riley | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2018-06-14 |
1598295339 | Mandy May Faye Shields | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2017-06-14 |
1740675933 | Carly Bento | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2015-04-03 |
1801220777 | Candice Simpson | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005 | 2013-08-28 |
1649526450 | Nancy Erin Schmidt | Massage Therapist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2012-07-30 |
1811213978 | Julie Lee | Acupuncturist | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2010-04-14 |
1376871046 | Shad A. Mclagan Dc PC | Chiropractor | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2009-11-18 |
1598905853 | Melissa Melba Berry | Naturopath | 4265 Sw 109th Ave, Beaverton, OR 97005-3028 | 2009-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
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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 |
---|---|---|---|---|
1417567124 | Isaac G Frank | Massage Therapist | 5920 Sw Erickson Ave Apt 16, Beaverton, OR 97005-4557 | 2020-08-06 |
1578172417 | Rebecca Bamberg | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 150, Beaverton, OR 97006-8133 | 2020-07-27 |
1497398283 | Ashley Dawn Contreras | Massage Therapist | 10029 Sw Nimbus Ave Ste 230, Beaverton, OR 97008-7110 | 2019-10-23 |
1316580608 | James Anthony Jacoby | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 605, Beaverton, OR 97005-3019 | 2019-10-20 |
1942858832 | Karen Elaine Weitz | Massage Therapist | 1975 Nw 167th Pl Ste 5, Beaverton, OR 97006-4908 | 2019-09-03 |
1073078614 | Daniel Edwards | Massage Therapist | 4655 Sw Griffith Dr Ste 180, Beaverton, OR 97005-8732 | 2019-02-07 |
1922578756 | Deanna (deedee) Lancaster Hoover | Massage Therapist | 3515 Sw 108th Ave, Beaverton, OR 97005-1830 | 2018-12-05 |
1548735046 | Rap Manual Therapy LLC | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 120, Beaverton, OR 97006-8115 | 2018-10-10 |
1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
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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.