MR. JOSEPH ALLEN CLARK (NPI# 1821217738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821217738 |
Entity Type | Individual |
Full Name | MR. JOSEPH ALLEN CLARK |
Credential | LMT |
Practice Address |
3270 Fir Ridge Rd Lake Oswego OR 97035-2643 |
Practice Telephone | 5037542845 |
Practice Fax Number | 5036363628 |
Mailing Telephone | 5037542845 |
Mailing Fax Number | 5036363628 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 13524 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
1669984407 | Joseph Raymond Clark | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2017-11-02 |
Street Address |
3270 FIR RIDGE RD |
City | LAKE OSWEGO |
State | OR |
Zip Code | 97035-2643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
Find all providers in zip 97035 |
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 |
---|---|---|---|---|
1164040333 | Elisa Brockway | Massage Therapist | 530 1st St Ste B2, Lake Oswego, OR 97034-3248 | 2020-07-14 |
1437795549 | Yan Li | Massage Therapist | 16624 Roosevelt Ave, Lake Oswego, OR 97035-4046 | 2019-11-24 |
1972157931 | Xiaoyue O Chin | Massage Therapist | 459 2nd St, Lake Oswego, OR 97034-3126 | 2019-07-29 |
1437718764 | Richard C Irvine Jr. | Massage Therapist | 3 Monroe Pkwy Ste 100u, Lake Oswego, OR 97035-1486 | 2019-06-11 |
1295214609 | Valencia Arciniega | Massage Therapist | 311 B Ave Ste W, Lake Oswego, OR 97034-3071 | 2018-08-08 |
1063914299 | Jessica Gaisford | Massage Therapist | 4 Monroe Pkwy Ste J, Lake Oswego, OR 97035-1406 | 2018-03-03 |
1457851149 | Daniel Kler | Massage Therapist | 15110 Boones Ferry Rd Ste 100c, Lake Oswego, OR 97035-3452 | 2018-02-19 |
1295243350 | Jenney Lanae Seale | Massage Therapist | 15110 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035-3468 | 2018-01-11 |
1679082622 | Callie Albertus | Massage Therapist | 16679 Boones Ferry Rd Ste 105, Lake Oswego, OR 97035-4378 | 2017-09-21 |
1114436250 | David Holloway | Massage Therapist | 17777 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5398 | 2017-09-20 |
Find all providers in LAKE OSWEGO |
City | LAKE OSWEGO |
Zip Code | 97035 |
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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.