LUCAS Q HOMER (NPI# 1902090509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902090509 |
| Entity Type | Individual |
| Full Name | LUCAS Q HOMER |
| Credential | DC |
| Practice Address |
12214 Se Mill Plain Blvd Ste 101 Vancouver WA 98684-6019 |
| Practice Telephone | 3602544040 |
| Practice Fax Number | 3602537808 |
| Mailing Telephone | 3602544040 |
| Mailing Fax Number | 3602537808 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002108 | WA | Chiropractic Providers |
| Street Address |
12214 SE MILL PLAIN BLVD STE 101 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546978 | Oregon Pedorthic Services | Durable Medical Equipment & Medical Supplies | 12214 Se Mill Plain Blvd, Ste 102, Vancouver, WA 98684-6019 | 2005-05-27 |
| 1275046914 | Spencer Jensen Hubbard | Chiropractor | 12214 Se Mill Plain Blvd, Vancouver, WA 98684-6019 | 2017-11-15 |
| 1689075848 | Jacqueline R Lemon I | Contractor | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2014-09-08 |
| 1376868919 | Mary E Goetz | Mechanotherapist | 12214 Se Mill Plain Blvd, #101, Vancouver, WA 98684-6019 | 2010-04-06 |
| 1417180621 | Cynthia M Stovall | Massage Therapist | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2009-09-03 |
| 1407035405 | Andrea Lynn Hughes | Massage Therapist | 12214 Se Mill Plain Blvd, Suite 101, Vancouver, WA 98684-6019 | 2007-10-26 |
| 1174721989 | Sean William Martin | Massage Therapist | 12214 Se Mill Plain Blvd, #101, Vancouver, WA 98684 | 2007-07-03 |
| 1679641393 | Cascade Park Sports Medicine & Rehab Clinic Pllc | Chiropractor | 12214 Se Mill Plain Blvd, Ste 101, Vancouver, WA 98684-6019 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1992328637 | Michael Cam Hung Cheung | Chiropractor | 305 Se Chkalov Dr Ste 160, Vancouver, WA 98683-5291 | 2020-05-27 |
| 1013554856 | Mobile Chiropractic North West, Inc. | Chiropractor | 9403 Ne 116th Ave, Vancouver, WA 98662-2338 | 2019-11-27 |
| 1306489356 | Carina Staab | Chiropractor | 5419 Ne 52nd St, Vancouver, WA 98661-7838 | 2019-10-22 |
| 1962053512 | Theodore Pagel | Chiropractor | 1307 Ne 78th St Ste B-13, Vancouver, WA 98665-9672 | 2019-09-25 |
| 1942866769 | Raemaris Glenn | Chiropractor | 5101 Ne 48th St, Vancouver, WA 98661-2844 | 2019-05-16 |
| 1467919431 | Sherry Wang Leavitt | Chiropractor | 11015 Ne Fourth Plain Blvd Ste B, Vancouver, WA 98662-6314 | 2019-02-26 |
| 1639636822 | Hansen Chiropractic | Chiropractor | 7620 Ne 119th Pl Ste 100, Vancouver, WA 98682-4170 | 2019-02-25 |
| 1487151650 | Scott Edward Gross | Chiropractor | 9807 Ne 75th Cir, Vancouver, WA 98662-4643 | 2018-04-12 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| Find all providers in VANCOUVER | ||||
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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.