DR. SHELLY BERNARD GETZLAF (NPI# 1760544571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760544571 |
| Entity Type | Individual |
| Full Name | DR. SHELLY BERNARD GETZLAF |
| Credential | PH.D. |
| Practice Address |
1017 Sw Morrison St Ste 411 Portland OR 97205-2629 |
| Practice Telephone | 5036464664 |
| Practice Fax Number | 5035217041 |
| Mailing Telephone | 5036464664 |
| Mailing Fax Number | 5035217041 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
717 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000476 | 05 |
| Street Address |
1017 SW MORRISON ST STE 411 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033573340 | Gwen Callahan | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2016-04-12 |
| 1831556562 | Portland Massage Arts LLC | Massage Therapist | 1017 Sw Morrison St, #405, Portland, OR 97205-2635 | 2016-01-26 |
| 1184033706 | Andrew Freeman | Massage Therapist | 1017 Sw Morrison St, Suite 411, Portland, OR 97205-2635 | 2014-08-07 |
| 1689002859 | Portland Area Recovery Services | Community/Behavioral Health | 1017 Sw Morrison St, Suite 502, Portland, OR 97205-2635 | 2013-10-24 |
| 1598192007 | Sarah M Stivers | Specialist | 1017 Sw Morrison St, Suite 312, Portland, OR 97205-2635 | 2013-09-28 |
| 1629311147 | Vicki Leigh Lorayne | Mechanotherapist | 1017 Sw Morrison St, # 403, Portland, OR 97205-2635 | 2013-04-03 |
| 1508105511 | Mikako Saito | Massage Therapist | 1017 Sw Morrison St, Suite 507c, Portland, OR 97205-2635 | 2013-02-11 |
| 1467701227 | Optimal Performance Therapeutic Massage | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-09-07 |
| 1821346883 | Melissa Baldwin | Massage Therapist | 1017 Sw Morrison St, 411, Portland, OR 97205-2635 | 2012-08-23 |
| 1659644714 | Peter Borden | Massage Therapist | 1017 Sw Morrison St, #405, Portland, OR 97205-2635 | 2012-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| Find all providers in PORTLAND | ||||
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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.