SHANNON WONG (NPI# 1790164648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790164648 |
Entity Type | Individual |
Full Name | SHANNON WONG |
Credential | LMT |
Practice Address |
449 Forest Ave Portland ME 04101-2029 |
Mailing Address |
59 Saint George St Portland ME 04103-4019 |
Practice Telephone | 2073294386 |
Mailing Telephone | 2073294386 |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | MT4634 | ME | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659347938 | Shannon L Wong | Pharmacist | 9300 Valley Childrens Place, Charlie Mitchell Childrens Clinic Mb01, Madera, CA 93636-3227 | 2006-02-27 |
1497753040 | Shannon M Wong | Optometrist | 11901 Jollyville Rd, Austin, TX 78759-2303 | 2005-07-08 |
1144710211 | Shannon Nathan Wong | Registered Nurse | 1131 San Felipe Rd, Hollister, CA 95023-2800 | 2018-05-15 |
1467606590 | Shannon L. Wong | Plastic Surgery | Emile 42nd St, Omaha, NE 68198-0001 | 2008-11-17 |
1316107816 | Shannon Lee Wong | Counselor | 15 Prospect St, Nashua, NH 03060-3923 | 2008-06-10 |
Street Address |
449 FOREST AVE |
City | PORTLAND |
State | ME |
Zip Code | 04101-2029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114912664 | Kathleen A Norris | Chiropractor | 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 | 2005-09-12 |
1144829953 | Hannah Freeman Smith | Naturopath | 449 Forest Ave, Portland, ME 04101-2029 | 2020-10-22 |
1740751627 | Frances Anna Mae Baconguis Dysinger | Pharmacist | 449 Forest Ave, Portland, ME 04101-2029 | 2018-12-17 |
1770055659 | Sarah Elizabeth Sweatt | Pharmacist | 449 Forest Ave, Portland, ME 04101-2029 | 2018-12-17 |
1225577521 | Natalie Harmon Veilleux | Counselor | 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 | 2017-02-20 |
1679945810 | Marybeth Riley | Counselor | 449 Forest Ave, Suite #14, Portland, ME 04101-2029 | 2015-10-27 |
1083944821 | Atlantic Chiropractic Limited Liability Company | Chiropractor | 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 | 2009-12-29 |
1588826713 | Guy H Mcchesney | Contractor | 449 Forest Ave, Suite 6, Portland, ME 04101-2029 | 2008-06-29 |
1235331885 | Robin D Henry-pearl | Specialist | 449 Forest Ave, 2nd Floor, Portland, ME 04101-2029 | 2007-06-05 |
1992888085 | Debra V Walton | Registered Nurse | 449 Forest Ave, 2nd Floor, Portland, ME 04101 | 2006-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
Find all providers in zip 04101 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
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1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
1366898421 | Nadia Greene | Contractor | 3836 Se Yamhill St, Portland, OR 97214-4355 | 2016-05-09 |
1528438132 | Kristine Okamoto | Contractor | 3940 Se Brooklyn St, Portland, OR 97202-1627 | 2015-09-25 |
1427465079 | Jennifer Marie Hessick | Contractor | 7942 Se 141st Ave, Portland, OR 97236-5450 | 2014-07-15 |
1902228091 | Tamara Wilson | Contractor | 1813 Dolphin Dr, Portland, TX 78374-2721 | 2014-01-09 |
1760810030 | Amy Rose Boren | Contractor | 8385 Sw Carmel Ct, Portland, OR 97223-6951 | 2013-10-24 |
1811243884 | Sharon L. Morrison-wolley | Contractor | 2714 Ne 38th Ave, Portland, OR 97212-2850 | 2012-07-27 |
1629337555 | Jesse Luckett | Contractor | 52 Ne Fremont St, Portland, OR 97212-2027 | 2012-05-12 |
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.