MRS. LESLIE ANN MELLOTT (NPI# 1033372438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033372438 |
Entity Type | Individual |
Full Name | MRS. LESLIE ANN MELLOTT |
Credential | LMT |
Practice Address |
33220 Ne Mershon Rd Corbett OR 97019 |
Practice Telephone | 5036953492 |
Mailing Telephone | 5036953492 |
Enumeration Date | 2008-07-07 |
Last Update Date | 2008-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2944 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
33220 NE MERSHON RD |
City | CORBETT |
State | OR |
Zip Code | 97019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124387527 | Salena Harlow | Counselor | 46934 Ne Toll Rd, Corbett, OR 97019-8701 | 2012-05-07 |
1639367899 | Hai Shan Center Inc | Naturopath | 39420 Se Gordon Creek Rd, Corbett, OR 97019-8750 | 2007-10-11 |
1639633985 | Jennifer Rose Peterson | Acupuncturist | 39420 Se Gordon Creek Rd, Corbett, OR 97019-8750 | 2019-01-30 |
1396138152 | Ryan Elizabeth Mclaughlin | Acupuncturist | 39420 Se Gordon Creek Rd, Corbett, OR 97019-8750 | 2015-03-17 |
1154699809 | Erin Kristine Stoneburner | Acupuncturist | 39420 Se Gordon Creek Rd, Corbett, OR 97019-8750 | 2011-12-08 |
1497999726 | Christopher M Metro | Acupuncturist | 39420 Se Gordon Creek Rd, Corbett, OR 97019-8750 | 2009-04-30 |
1952357634 | Jeffrey R Tyler | Internal Medicine | 37638 E Knieriem Rd, Corbett, OR 97019-8818 | 2006-05-25 |
1992252654 | Sarah Tyler | Dental Hygienist | 37638 E Knieriem Rd, Corbett, OR 97019-8818 | 2016-09-09 |
1942682042 | Deborah Ann Roth | Social Worker | 34224 Se Smith Rd, Corbett, OR 97019-9612 | 2015-06-24 |
1285284380 | County of Multnomah | Local Education Agency (LEA) | 35800 E Historic Columbia River Hwy, Corbett, OR 97019-9629 | 2019-09-19 |
Find all providers in zip 97019 |
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 |
---|---|---|---|---|
1619375060 | Leslie Gail Piper | Massage Therapist | 432 Ne Salzman Rd, Corbett, OR 97019-9789 | 2014-12-17 |
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 |
1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
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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.