ANDREW RUSSELL VAN DER WERF (NPI# 1023512233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023512233 |
| Entity Type | Individual |
| Full Name | ANDREW RUSSELL VAN DER WERF |
| Credential | LMT |
| Practice Address |
2526 Ne 15th Ave Portland OR 97212-4222 |
| Mailing Address |
12600 Se Harold St Portland OR 97236-4225 |
| Practice Telephone | 5032887668 |
| Mailing Telephone | 7754006619 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 23850 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2122 Nw Quimby St, Portland, OR 972102622 | 5032927668 |
| Street Address |
2526 NE 15TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97212-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578501755 | Michael J. Burke | Chiropractor | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2006-06-02 |
| 1184198855 | Emily Rose Neyman | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2019-01-16 |
| 1295206316 | Sara L Gentner | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2018-12-16 |
| 1538647193 | Anika De Vore | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2018-08-04 |
| 1679070866 | Benjamin Wurtsbaugh | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2018-04-12 |
| 1972024248 | Jill Bailey | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2017-06-27 |
| 1275073884 | Daniel Agosta | Chiropractor | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2017-03-01 |
| 1497204168 | Katrina Meyer | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2016-09-23 |
| 1730633041 | Brandon Estrem | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2016-08-04 |
| 1992160089 | John Hoffmann | Massage Therapist | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2015-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191361 | Beliving Counseling and Consulting | Counselor | 311 Ne Russell Street, #211, Portland, OR 97212 | 2019-02-26 |
| 1497223051 | Shira Dennis | Behavioral Analyst | 3424 Ne Tillamook St., Portland, OR 97212 | 2018-11-12 |
| 1659890317 | Cidnee Potter | Doula | 2915 Ne Mlk Jr Blvd, Portland, OR 97212 | 2017-09-14 |
| 1588194187 | Ann M Staple | Counselor | 2905 Ne Tillamook St, Portland, OR 97212 | 2017-06-15 |
| 1780129502 | Noelle Denise King | Naturopath | 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 | 2017-01-03 |
| 1285085100 | Jessica Battin | Massage Therapist | 2310 Ne 8th Ave #2, Portland, OR 97212 | 2016-06-22 |
| 1316311830 | Dr Elise Schroeder | Clinic/Center | 3531 Ne 15th Ave Suite A, Portland, OR 97212 | 2015-11-20 |
| 1467820738 | Ayanna Askari | Counselor | 3655 N E Grand Ave, Portland, OR 97212 | 2015-09-03 |
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1417346834 | Emily Mcdonough Comerford | Case Manager/Care Coordinator | 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 | 2015-01-22 |
| Find all providers in zip 97212 | ||||
| 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.