COURTNEY LYN DICKERSON (NPI# 1912246497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912246497 |
| Entity Type | Individual |
| Full Name | COURTNEY LYN DICKERSON |
| Credential | L.M.T. |
| Practice Address |
1880 Lancaster Dr Ne 101, 102 Salem OR 97305-1089 |
| Mailing Address |
141 Se Ash St Dallas OR 97338-2504 |
| Practice Telephone | 5033621002 |
| Mailing Telephone | 5038719548 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18742 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1780063081 | Courtney Dickerson | Pharmacist | 2900 Lamb Cir, Christiansburg, VA 24073-6344 | 2015-05-20 |
| Street Address |
1880 LANCASTER DR NE 101, 102 |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561056 | William A Porter | Dentist | 1880 Lancaster Dr Ne, Suite 104, Salem, OR 97305-1089 | 2005-07-08 |
| 1407398803 | Qayla Porter | Massage Therapist | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1089 | 2016-11-16 |
| 1033651906 | Jason Holt | Chiropractor | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1089 | 2016-11-09 |
| 1750823670 | Christopher T Stevenson | Massage Therapist | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1089 | 2016-11-09 |
| 1588040935 | Meera J Grewal | Dentist | 1880 Lancaster Dr Ne, Suite 104, Salem, OR 97305-1089 | 2015-08-08 |
| 1447636162 | Sara Marie Sanders | Dental Hygienist | 1880 Lancaster Dr Ne, 121, Salem, OR 97305-1089 | 2015-08-04 |
| 1386036408 | Andrew Teller | Chiropractor | 1880 Lancaster Dr Ne, Salem, OR 97305-1089 | 2015-02-26 |
| 1821408774 | Lauren Sauvage | Dental Hygienist | 1880 Lancaster Dr Ne, Ste 121, Salem, OR 97305-1089 | 2014-04-30 |
| 1396174546 | Jessica Suderman | Massage Therapist | 1880 Lancaster Dr Ne, Salem, OR 97305-1089 | 2013-11-08 |
| 1205175999 | Doctors Choice Pain Management LLC | Massage Therapist | 1880 Lancaster Dr Ne, Suite 101-102, Salem, OR 97305-1089 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| 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 |
|---|---|---|---|---|
| 1437766953 | Michael Amador | Massage Therapist | 95 Stiles Rd Ste 107, Salem, NH 03079-4805 | 2020-09-29 |
| 1528673464 | Brandy Mckeever | Massage Therapist | 156 Front St Ne, Salem, OR 97301-3479 | 2020-09-08 |
| 1114531274 | Michelle Nicole Kellogg-satrum | Massage Therapist | 1900 Hines St Se Ste 110, Salem, OR 97302-1356 | 2020-09-04 |
| 1518579481 | Stephanie Shambaugh | Massage Therapist | 456 State St Ste 110, Salem, OR 97301-3619 | 2020-08-20 |
| 1770115230 | Angela Aloisi | Massage Therapist | 1236 W Main St, Salem, VA 24153-4726 | 2020-02-12 |
| 1245874445 | Jessica Schutt | Massage Therapist | 156 Front St Ne Ste 100, Salem, OR 97301-3479 | 2019-10-30 |
| 1174185391 | Jennifer Plemons | Massage Therapist | 2685 Gilbert St S, Salem, OR 97302-5853 | 2019-07-08 |
| 1811559305 | Jordan D Hilbert | Massage Therapist | 2110 Berry St Se, Salem, OR 97302-2108 | 2019-07-03 |
| 1942865167 | Pure Massage & Spa LLC | Massage Therapist | 4155 Rickey St Se Ste 122, Salem, OR 97317-6903 | 2019-05-02 |
| 1942767553 | Crystal Vanpelt | Massage Therapist | 2111 Front St Ne Bldg 3, Salem, OR 97301-0765 | 2019-03-01 |
| Find all providers in SALEM | ||||
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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.