ADVANCED ALTERNATIVE HEALTHCARE CLINIC, INC. (NPI# 1013482785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013482785 |
| Entity Type | Organization |
| Organization Name | ADVANCED ALTERNATIVE HEALTHCARE CLINIC, INC. |
| Practice Address |
5319 Sw Westgate Dr Ste 145 Portland OR 97221-2430 |
| Practice Telephone | 5032677659 |
| Mailing Telephone | 5032677659 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | MRS. SHELBY FAGAN (PRESIDENT) |
| Authorized Official Telephone | 5032677659 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Advanced Medical Massage | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED ALTERNATIVE HEALTHCARE CLINIC, INC. | 5319 Sw Westgate Dr Ste 145, Portland, OR 97221 |
| Street Address |
5319 SW WESTGATE DR STE 145 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503881 | Karen Davi | Massage Therapist | 5319 Sw Westgate Dr Ste 145, Portland, OR 97221-2430 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| 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 |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| 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.