KYLE BANGEN (NPI# 1861940520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861940520 |
| Entity Type | Individual |
| Full Name | KYLE BANGEN |
| Credential | CSCS |
| Practice Address |
845 Sw 30th St Corvallis OR 97331-8629 |
| Practice Telephone | 5417681428 |
| Mailing Telephone | 5417681428 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
845 SW 30TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97331-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799211 | Douglas F Aukerman | Family Medicine | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2006-04-14 |
| 1205444072 | Heather Harrower | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2020-07-17 |
| 1114535986 | Zachary Lentini | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2020-07-17 |
| 1962994913 | Jennifer Frances Neudorfer | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2018-06-05 |
| 1588161517 | Kaitlyn Schlueter | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2018-04-06 |
| 1518480870 | Kevin R Muncey | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2017-07-19 |
| 1942659164 | Caitlyn Gaul | Specialist/Technologist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2016-06-08 |
| 1770803892 | Nicholas Phillips | Emergency Medicine | 845 Sw 30th St, Samaritan Athletic Medicine Center, Corvallis, OR 97331 | 2010-06-11 |
| 1043541832 | Amanda D Baltazar | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2010-01-19 |
| 1821201849 | Paul Joseph Sawicki | Physical Therapist | 845 Sw 30th St, Corvallis, OR 97331-8629 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437663929 | Rachel Proteau | Student in an Organized Health Care Education/Training Program | Pharmacy Building, 1601 Sw Jefferson Way, Corvallis, OR 97331 | 2017-11-20 |
| 1194065995 | Candice Bailey | Veterinarian | 300 Magruder Hall, Corvallis, OR 97331 | 2013-02-15 |
| 1902189798 | Nicole Leblanc | Veterinarian | 700 Sw 30th Street, College of Veterinary Medicine Oregon State University, Corvallis, OR 97331 | 2011-09-28 |
| 1467698894 | Gail Carpenter Baggett | Physical Therapist | 425 Sw 26th St, Oregon State University - Dixon Recreation Center, Corvallis, OR 97331 | 2009-01-07 |
| 1306062401 | Barbara Sue Lerwick | Registered Nurse | 108 Sw Memorial Place, Plageman Building, Student Health Services, Corvallis, OR 97331 | 2007-04-17 |
| 1114097649 | Richard Eugene Lague | Physical Therapist | Hfc Dixon Recreation Center, Oregon State University, Corvallis, OR 97331 | 2006-11-09 |
| 1871682997 | Helen Kathleen Tennican | Physician Assistant | Oregon State University, 201 Plageman Building, Corvallis, OR 97331 | 2006-10-12 |
| 1043228570 | Linda M Samuels | Pharmacist | 109 Plageman Bldg, Osu Pharmacy, Corvallis, OR 97331 | 2006-08-03 |
| 1942214747 | Osu Student Health Center Pharmacy | Pharmacy | Plageman Building Room 109, Oregon State University, Corvallis, OR 97331 | 2006-07-28 |
| 1902833767 | Jeffrey C. Mull | Emergency Medicine | Oregon State University Student Health Services, Plageman 201, Corvallis, OR 97331 | 2006-06-27 |
| Find all providers in zip 97331 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365656 | Amy L Davis-bruner | Health Educator | 1320 Nw 27th St, Corvallis, OR 97330-2445 | 2020-04-16 |
| 1396306882 | Karina Goicochea | Health Educator | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-06-25 |
| 1760965529 | Brady I Vernon | Health Educator | 777 Nw 9th St, Corvallis, OR 97330-6169 | 2018-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120323 | James David Bongcayao | Health Educator | 2420 Kincaid St, Eugene, OR 97405-3056 | 2020-10-01 |
| 1215557319 | Genevieve White | Health Educator | 67477 E Bright Ct, Welches, OR 97067-8708 | 2020-04-20 |
| 1295361061 | Timothy Patching | Health Educator | 7650 S Prairie Rd, Tillamook, OR 97141-9542 | 2020-03-12 |
| 1942835616 | Julie Ann Krohn | Health Educator | 34600 Cape Kiwanda Dr, Pacific City, OR 97135-8020 | 2020-03-03 |
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1033755517 | Suzanne Bjaranson | Health Educator | 2002 Se Chokeberry Ave, Warrenton, OR 97146-7340 | 2019-11-20 |
| 1952942252 | Olga Householder | Health Educator | 300 Sw Hill Rd, Mcminnville, OR 97128-9133 | 2019-10-08 |
| 1598323040 | Deschutes County Oregon | Health Educator | 1130 Nw Harriman St, Bend, OR 97703-1977 | 2019-05-30 |
| 1013477686 | Brenda Louise Duerksen | Health Educator | 8800 Se Sunnyside Rd Ste 224s, Clackamas, OR 97015-5770 | 2019-03-21 |
| 1407310220 | Karen Jean Robertson | Health Educator | 680 Fir Ave, Reedsport, OR 97467-1431 | 2019-01-25 |
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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.