MS. JESSICA IRENE SCOVELL (NPI# 1790091130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790091130 |
| Entity Type | Individual |
| Full Name | MS. JESSICA IRENE SCOVELL |
| Credential | LMT |
| Practice Address |
289 E Ellendale Ave Ste 102 Dallas OR 97338-1500 |
| Mailing Address |
473 Se Excel St Sheridan OR 97378-1963 |
| Practice Telephone | 5036235505 |
| Mailing Telephone | 9712372751 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16026 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
289 E ELLENDALE AVE STE 102 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669631107 | Lynn Vanallen | Massage Therapist | 289 E Ellendale Ave Ste 102, Dallas, OR 97338-1500 | 2008-06-09 |
| 1376795872 | Sara Joy Porter | Massage Therapist | 289 E Ellendale Ave Ste 102, Dallas, OR 97338-1500 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| 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 |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1225637846 | Just Breathe Massage and Wellness LLC | Massage Therapist | 7200 N Stemmons Fwy Apt 908, Dallas, TX 75247-5032 | 2020-10-23 |
| 1679170658 | Stephanie R Stigers | Massage Therapist | 3214 Nebraska Ave, Dallas, TX 75216-5328 | 2020-10-03 |
| 1841806650 | Sasha Danielle Rogers | Massage Therapist | 4230 Lyndon B Johnson Fwy # 200n, Dallas, TX 75244-5806 | 2020-09-17 |
| 1194338939 | Victoria Hill | Massage Therapist | 4594 W Kiest Blvd Apt 2111, Dallas, TX 75236-2643 | 2020-08-30 |
| 1295348191 | Mia Walker | Massage Therapist | 1647 Bending Oaks Trl, Dallas, TX 75217-2625 | 2020-08-28 |
| 1568073690 | Joshua Tharian | Massage Therapist | 13938 Peyton Dr, Apt 114, Dallas, TX 75240-3655 | 2020-08-12 |
| 1770193955 | Tammie White | Massage Therapist | 15340 Dallas Pkwy Ste 2220, Dallas, TX 75248-4637 | 2020-08-03 |
| 1841830346 | Nakeeta Shanee Smith | Massage Therapist | 7502 Campbell Rd., Suite 24, Dallas, TX 75248-1704 | 2020-01-13 |
| 1073155602 | Njy International LLC | Massage Therapist | 2695 Villa Creek Dr Ste 205, Dallas, TX 75234-7329 | 2019-10-15 |
| Find all providers in DALLAS | ||||
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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.