MR. TYLER N ANDRES (NPI# 1881938256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881938256 |
| Entity Type | Individual |
| Full Name | MR. TYLER N ANDRES |
| Credential | LAC |
| Practice Address |
8810 Se Sunnybrook Blvd Ste 100 Clackamas OR 97015 |
| Mailing Address |
8810 Se Sunnybrook Blvd Ste 100 Clackamas OR 97015-6805 |
| Practice Telephone | 5036072226 |
| Mailing Telephone | 5036072226 |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC 159975 | OR | Other Service Providers |
| Street Address |
8810 SE SUNNYBROOK BLVD STE 100 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333906 | Shannon Mahoney | Physical Therapy Assistant | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-07-17 |
| 1023631397 | Rhiannon C. Clark | Physical Therapist | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-05-21 |
| 1245865153 | Lindsay Nicholson | Chiropractor | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-03-11 |
| 1902438781 | Kevin Mohning | Physical Therapy Assistant | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-02-10 |
| 1962034900 | Megan Treece | Physical Therapy Assistant | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-02-07 |
| 1295367233 | Hannah Dugan | Physical Therapy Assistant | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2020-02-07 |
| 1164971032 | Jacqueline Laarabi | Chiropractor | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6805 | 2016-10-03 |
| 1487085577 | Farrah Snyder | Massage Therapist | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015-6843 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658621 | Mychell E Vincent | Acupuncturist | 15480 Se 82nd Dr, Clackamas, OR 97015-9633 | 2006-05-19 |
| 1023555380 | Robert Ryan Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2017-01-25 |
| 1942651948 | Love Acupuncture | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2016-06-30 |
| 1114319175 | Tanya Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2015-03-02 |
| 1609211820 | Jessica Ann Peterson | Acupuncturist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2013-05-01 |
| 1265786636 | Susan Buhler | Acupuncturist | 15645 Se 114th Ave, Suite 102, Clackamas, OR 97015-9047 | 2012-11-06 |
| 1407103914 | Adalissete Garcia | Acupuncturist | 10001 Se Sunnyside Rd, #204, Clackamas, OR 97015-5746 | 2012-08-14 |
| 1760751044 | Gabriel Steven Prewitt | Acupuncturist | 10001 Se Sunnyside Rd Ste 204, Clackamas, OR 97015-9704 | 2011-12-15 |
| 1376822692 | Elements Holistic Wellness | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-08-04 |
| 1265731228 | Emily Kay Weber | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-03-16 |
| Find all providers in CLACKAMAS | ||||
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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.