LAURA PEDERSON (NPI# 1790103059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790103059 |
| Entity Type | Individual |
| Full Name | LAURA PEDERSON |
| Credential | LMT |
| Practice Address |
2002 12th St Hood River OR 97031-9543 |
| Mailing Address |
3010 Eliot Dr Hood River OR 97031-9574 |
| Practice Telephone | 5414902036 |
| Mailing Telephone | 5414902036 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 19960 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619450053 | Laura Elizabeth Pederson | Behavior Technician | 12650 E Briarwood Ave Unit 207, Centennial, CO 80112-6792 | 2018-09-12 |
| Street Address |
2002 12TH ST |
| City | HOOD RIVER |
| State | OR |
| Zip Code | 97031-9543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073504809 | Columbia Gorge Physical Therapy Inc | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2005-11-01 |
| 1417573528 | Daniel Krist | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2020-06-24 |
| 1023478674 | Hannah Nicholson | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2016-02-24 |
| 1790040210 | Kristen Elizabeth Dills | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2012-07-10 |
| 1154659555 | Edith Seyl Polson | Occupational Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2009-11-23 |
| 1912053083 | Shendra D Thorpe | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2007-01-25 |
| 1568516136 | Laurel V Roof | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2007-01-22 |
| 1467511386 | Melissa A Shays | Acupuncturist | 2002 12th St, Hood River, OR 97031-9543 | 2006-12-06 |
| 1407847742 | Bettina M Bardin-sorensen | Physical Therapist | 2002 12th St, Hood River, OR 97031-9543 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387823 | Soniclife.com LLC | Durable Medical Equipment & Medical Supplies | 1027 Industrial Suite C, Hood River, OR 97031 | 2020-02-04 |
| 1760947444 | Madison Bubb | Behavior Technician | 1270 Tucker Road, Hood River, OR 97031 | 2019-02-06 |
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1720511926 | Ohsana Valle | Specialist/Technologist | 3242 Mud Alley Rd, Hood River, OR 97031 | 2017-04-05 |
| 1811353287 | Carolina Cecelia Castro | Counselor | 965 Tucker Road, Hood River, OR 97031 | 2016-01-14 |
| 1093180523 | John Joseph Criswell | Pharmacist | 810 12th Street, Hood River, OR 97031 | 2015-12-09 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
| 1518364272 | Kimberly Althea Perez | Counselor | 1425 Rockfor Rd., Hood River, OR 97031 | 2014-11-24 |
| 1508287871 | Mid-columbia Center for Living | Community/Behavioral Health | 3686 Davis Drive, Hood River, OR 97031 | 2014-01-03 |
| Find all providers in zip 97031 | ||||
| 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 |
|---|---|---|---|---|
| 1548823305 | Gorge Body Therapy | Massage Therapist | 1216 C St, Hood River, OR 97031-1698 | 2019-04-17 |
| 1710446521 | Jennifer Marie Arnot | Massage Therapist | 116 3rd St Ste 205, Hood River, OR 97031-2193 | 2019-03-19 |
| 1710489380 | Sheri Alisa Horvat | Massage Therapist | 116 3rd St Ste 202, Hood River, OR 97031-2193 | 2018-02-28 |
| 1619495538 | Jessica Rose Ross | Massage Therapist | 1302 A St, Hood River, OR 97031-1648 | 2017-08-30 |
| 1679942650 | Martina Rizzo | Massage Therapist | 4000 Westcliff Dr, Hood River, OR 97031-8711 | 2015-09-19 |
| 1104292911 | Shannon Northroup | Massage Therapist | 118 3rd St, Hood River, OR 97031-2010 | 2015-08-15 |
| 1366830416 | Comice Sabbah | Massage Therapist | 105 E 5th St, Hood River, OR 97031 | 2014-12-23 |
| 1316368855 | Patricia Ann Stevens | Massage Therapist | 990 Methodist Rd, Hood River, OR 97031-7712 | 2013-12-31 |
| 1962741355 | Heather Lynn Mason | Massage Therapist | 1406 12th St, Suite 104, Hood River, OR 97031-1757 | 2013-02-05 |
| 1295085793 | Stanton Westley Starr | Massage Therapist | 1714 B Street, Hood River, OR 97031-1338 | 2012-09-12 |
| Find all providers in HOOD RIVER | ||||
| City | HOOD RIVER |
| Zip Code | 97031 |
Please comment or provide details below to improve the information on LAURA PEDERSON.
| 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.