KATHERINE DISTFANO IV (NPI# 1891852224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891852224 |
| Entity Type | Individual |
| Full Name | KATHERINE DISTFANO IV |
| Practice Address |
3241 Ne Broadway St Portland OR 97232-1855 |
| Mailing Address |
5964 Ne 55th Ave Portland OR 97218-2373 |
| Practice Telephone | 5032828582 |
| Mailing Telephone | 5035447810 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11090 | OR | Other Service Providers |
| Street Address |
3241 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730128711 | Alexe Walker Bellingham | Chiropractor | 3241 Ne Broadway St, Portland, OR 97232-1855 | 2006-06-05 |
| 1629681986 | Brittany Mcnair | Massage Therapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2020-08-26 |
| 1811528458 | Ashley Morgan Daniels | Massage Therapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2020-02-02 |
| 1235769530 | Alexa Isabel Hanshaw | Massage Therapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2020-01-25 |
| 1700416872 | Christeen Perkins | Chiropractor | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2020-01-17 |
| 1699318949 | Sarah Tokstad | Massage Therapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2019-10-18 |
| 1467901348 | Amelia Schildmeyer | Chiropractor | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2016-10-03 |
| 1972051290 | Rebecca Leah Shapiro | Massage Therapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2016-09-15 |
| 1184009177 | Kelsea Falls | Mechanotherapist | 3241 Ne Broadway St, Portland, OR 97232-1814 | 2015-07-20 |
| 1720483688 | Rachel Minten | Reflexologist | 3241 Ne Broadway St, Portland, OR 97232-1855 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| 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.