ALISE FAIRCLOTH (NPI# 1801262589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801262589 |
Entity Type | Individual |
Full Name | ALISE FAIRCLOTH |
Practice Address |
1921 Sw 144th Ave Beaverton OR 97005-2356 |
Practice Telephone | 5037046982 |
Mailing Telephone | 5037046982 |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-08-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | 21439 | OR | Other Service Providers |
Street Address |
1921 SW 144TH AVE |
City | BEAVERTON |
State | OR |
Zip Code | 97005-2356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
Find all providers in zip 97005 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215568399 | Rebecca Callahan | Contractor | 16979 Sw Steele Way, Beaverton, OR 97006-8935 | 2020-01-28 |
1912459488 | Jin Hwa Chung | Contractor | 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 | 2016-10-31 |
1467830075 | Bassem Marei | Contractor | 3198 Sw 178th Ave, Marei, Beaverton, OR 97003-4419 | 2015-05-14 |
1942542477 | Emily Johnson Purry | Contractor | 18573 Sw Muirfield St, Beaverton, OR 97006-3189 | 2013-03-22 |
1871613133 | Lisa L Romary | Contractor | 16545 Nw Somerset Dr, Beaverton, OR 97006-5277 | 2007-03-30 |
1619511847 | Sabrina Mercedes Trickel | Contractor | 12655 Sw Center St Ste 100, Beaverton, OR 97005-1600 | 2019-10-31 |
1538531652 | Chelsi Desjardins | Contractor | 1975 Nw 167th Pl, Beaverton, OR 97006-4908 | 2015-10-28 |
1902232804 | John Zurita | Contractor | 14619 Sw Teal Blvd, Beaverton, OR 97007 | 2013-09-24 |
1083901789 | Michael Haranzo | Contractor | 3849 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2011-07-01 |
1548472897 | Melissa R. Rhines | Contractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2007-05-07 |
Find all providers in BEAVERTON |
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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.