DIANE DAVIDSON (NPI# 1770893026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770893026 |
| Entity Type | Individual |
| Full Name | DIANE DAVIDSON |
| Credential | L.M.T. |
| Practice Address |
3276 Commercial St Se Salem OR 97302-4584 |
| Mailing Address |
543 W Hills Way Nw Salem OR 97304-4328 |
| Practice Telephone | 5033711120 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 17602 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083879449 | Diane Kaye Davidson | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Indianapolis, IN 46222-1146 | 2008-07-25 |
| 1215908991 | Diane Meg Davidson | Dermatology | 491 Gold Star Hwy, Suite 310, Groton, CT 06340 | 2006-01-30 |
| Street Address |
3276 COMMERCIAL ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730191677 | Zohra Campbell Bolduc | Chiropractor | 3276 Commercial St Se, Salem, OR 97302-4584 | 2006-08-12 |
| 1558689513 | Amy Mellissa Williams | Massage Therapist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2010-05-13 |
| 1881912673 | Daniel Saalfeld | Massage Therapist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2010-05-04 |
| 1114174455 | Kristel Eden Wonderly | Reflexologist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2008-08-19 |
| 1811156821 | Jennifer Dianne Carroll | Massage Therapist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2008-06-04 |
| 1932398948 | Healing Touch Chiropractic Clinic Inc | Chiropractor | 3276 Commercial St Se, Salem, OR 97302-4584 | 2007-10-16 |
| 1619179959 | Victoria Lynne Mclean | Massage Therapist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003240045 | Cora Nadine Fields | Mechanotherapist | 651 High St Ne, Suite #9, Salem, OR 97301-2422 | 2013-08-27 |
| 1184968760 | Alisha Sue Clark | Mechanotherapist | 4385 Satter Pl Ne, Salem, OR 97305-4107 | 2012-11-20 |
| 1659682870 | Mark Cedarleaf | Mechanotherapist | 705 12th St Se, Salem, OR 97301-4004 | 2010-06-23 |
| 1457671828 | Vicki J. O'dea | Mechanotherapist | 2475 Lancaster Dr Ne, Suite 4, Salem, OR 97305-4268 | 2010-06-08 |
| 1982931671 | Elizabeth Jean Billman | Mechanotherapist | 525 Ferry St Se Ste 103, Salem, OR 97301-3745 | 2009-11-17 |
| 1598970550 | Michael Benjamin Sumner Sr. | Mechanotherapist | 390 Salem Heights Ave S, Salem, OR 97302-5609 | 2007-05-13 |
| 1194184028 | Steven Hope | Mechanotherapist | 1640 Lancaster Dr Ne, Salem, OR 97301 | 2016-02-20 |
| 1114290335 | Lisa R Brunner | Mechanotherapist | 752 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2012-02-18 |
| 1689961534 | Happy Spirit Healing Arts, LLC | Mechanotherapist | 830 Saginaw St S, Salem, OR 97302-4122 | 2011-06-29 |
| 1346534450 | Stephanie Marie Galver | Mechanotherapist | 233 Madrona Ave Se, Salem, OR 97302-4609 | 2011-06-06 |
| Find all providers in SALEM | ||||
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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.