MR. SAM VASQUEZ (NPI# 1992748065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992748065 |
| Entity Type | Individual |
| Full Name | MR. SAM VASQUEZ |
| Credential | ATC |
| Practice Address |
626 Se 9th Ave Hillsboro OR 97123-4600 |
| Mailing Address |
1320 Sw Cheltenham St. #3 Portland OR 97239-7020 |
| Practice Telephone | 5036814238 |
| Practice Fax Number | 5036814239 |
| Mailing Telephone | 5036814238 |
| Mailing Fax Number | 5036814239 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-949393 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
626 SE 9TH AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417226 | Kimberly Mcgough Lierman | Physical Therapist | 626 Se 9th Ave, Hillsboro, OR 97123-4600 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584218 | Christopher Zane Slater | Specialist/Technologist | 1915 Miller Crossroads Rd, Hillsboro, TN 37342-3720 | 2020-06-29 |
| 1891329884 | Johanna Claire Wilson | Specialist/Technologist | 222 Se 8th Ave # Hpc2, Hillsboro, OR 97123-4218 | 2020-02-27 |
| 1386276061 | Lesley Castillo | Specialist/Technologist | 10384 Ne Evergreen Pkwy Apt 31, Hillsboro, OR 97124-7857 | 2020-02-10 |
| 1780221291 | Christina Wright | Specialist/Technologist | 2700 Nw Glencoe Rd, Hillsboro, OR 97124-1518 | 2019-12-03 |
| 1417413428 | Kristen J Kell | Specialist/Technologist | 3532 Nw 3rd Ave, Hillsboro, OR 97124-1508 | 2019-02-14 |
| 1639652951 | Sydney Anne Bredehoeft | Specialist/Technologist | 1600 Abbott Ave, Hillsboro, TX 76645-2895 | 2018-09-12 |
| 1104326479 | Christine Tchalikian | Specialist/Technologist | 21520 Nw Franson Way Apt 1304, Hillsboro, OR 97006-6075 | 2018-02-13 |
| 1922537075 | Travis Fuller | Specialist/Technologist | 400 Old Brandon Rd Apt 903, Hillsboro, TX 76645-2394 | 2017-06-11 |
| 1255872743 | Brandon William Stanek | Specialist/Technologist | E18771 Shady Ln, Hillsboro, WI 54634-3081 | 2017-03-16 |
| 1699213124 | Ian-philip Rojas | Specialist/Technologist | 2000 Se Century Blvd Rm N130, Hillsboro, OR 97123-8390 | 2017-02-03 |
| Find all providers in HILLSBORO | ||||
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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.