ALTA ULRICH (NPI# 1942757729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942757729 |
| Entity Type | Individual |
| Full Name | ALTA ULRICH |
| Credential | LMT |
| Practice Address |
7932 Se 282nd Ave Gresham OR 97080-8217 |
| Practice Telephone | 5035016312 |
| Mailing Telephone | 5035016312 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 17399 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7932 SE 282ND AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| 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 |
|---|---|---|---|---|
| 1548894108 | Michael A Kostin | Massage Therapist | 3333 Sw Miller Pl, Gresham, OR 97080-5500 | 2020-02-23 |
| 1285278457 | John Robert Inouye | Massage Therapist | 16 Ne Hogan Dr Ste 108, Gresham, OR 97030-7967 | 2019-10-31 |
| 1093272627 | James Monje-lara | Massage Therapist | 1112 Nw 15th St Apt B309, Gresham, OR 97030-4960 | 2019-03-01 |
| 1346711918 | Julie Lynn Haugen | Massage Therapist | 33 Ne Kelly Ave Ste 101, Gresham, OR 97030-7518 | 2018-12-07 |
| 1306334826 | Rebecca Schrantz | Massage Therapist | 4235 Se 182nd Ave, Gresham, OR 97030-5082 | 2018-04-30 |
| 1679082861 | Erica S Blair | Massage Therapist | 1550 Nw Eastman Pkwy Ste 265, Gresham, OR 97030-3860 | 2017-09-20 |
| 1427578194 | Shawna Pool | Massage Therapist | 16 Ne Hogan Dr # 108, Gresham, OR 97030-7967 | 2017-06-23 |
| 1356888093 | Massage for Healing and Wellness | Massage Therapist | 287 Ne 3rd St Apt 209, Gresham, OR 97030-7722 | 2017-01-19 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1912353947 | Barbra Archibeque | Massage Therapist | 1494 Nw 15th St, Gresham, OR 97030-3652 | 2016-05-09 |
| Find all providers in GRESHAM | ||||
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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.