BRIAN LEE WILSON (NPI# 1780931329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780931329 |
| Entity Type | Individual |
| Full Name | BRIAN LEE WILSON |
| Credential | LMP |
| Practice Address |
1840 Ne 104th Loop #7 Vancouver WA 98686-5676 |
| Practice Telephone | 3606090641 |
| Mailing Telephone | 3606090641 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60293278 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122269 | Brian A Wilson | Registered Nurse | 12801 Brookhurst St Unit 1118, Garden Grove, CA 92840-4864 | 2019-12-31 |
| 1265076376 | Brian Wilson | Registered Nurse | 729 Goldenrod Dr, Gardendale, AL 35071-2844 | 2019-10-31 |
| 1427536580 | Brian Wilson | Social Worker | 5136 Woolverton Ave, Baltimore, MD 21215-5135 | 2018-08-01 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| 1124407978 | Brian Wilson | Home Health Aide | 7464 Arapahoe Rd Ste B3, Boulder, CO 80303-1500 | 2015-05-27 |
| 1184012775 | Brian Wilson | Occupational Therapist | 6919 Nebo Hills Rd, Liberty, MO 64068-8504 | 2015-01-05 |
| 1508148644 | Brian Scott Wilson | Pharmacist | 10680 Torrington Ln, Highlands Ranch, CO 80126-7549 | 2011-09-14 |
| 1588952204 | Brian A. Wilson | Marriage & Family Therapist | 507 W Foothill Blvd # B, Monrovia, CA 91016-2021 | 2011-07-14 |
| 1417187931 | Brian Wilson | Registered Nurse | 315 Hudson St Fl 9, New York, NY 10013-1036 | 2009-07-17 |
| 1578727095 | Brian Wilson | Durable Medical Equipment & Medical Supplies | 116 Alabama St, Dalhart, TX 79022-5334 | 2008-07-14 |
| Street Address |
1840 NE 104TH LOOP #7 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-5676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
| Find all providers in VANCOUVER | ||||
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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.