TRINITY K SHERADEN (NPI# 1073682019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073682019 |
| Entity Type | Individual |
| Full Name | TRINITY K SHERADEN |
| Credential | LMT |
| Practice Address |
2263 Ne Cornell Rd Hillsboro OR 97124-5947 |
| Mailing Address |
1085 Moneda Ave N Keizer OR 97303-6256 |
| Practice Telephone | 5038697380 |
| Practice Fax Number | 8665486743 |
| Mailing Telephone | 5038697380 |
| Mailing Fax Number | 8665486743 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7300 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ASHN CREDENTIALLING # | TS1037297 | 01 |
| OR | MASSAGE LICENSE | 7300 | 01 |
| Street Address |
2263 NE CORNELL RD |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649837378 | Keri Needles | Point of Service | 2263 Ne Cornell Rd, Hillsboro, OR 97124-5947 | 2019-05-29 |
| 1457531097 | Wellness Within Chiropractic, Inc | Clinic/Center | 2263 Ne Cornell Rd, Hillsboro, OR 97124-5947 | 2007-11-12 |
| 1073659710 | Anita Marie Stefan | Chiropractor | 2263 Ne Cornell Rd, Hillsboro, OR 97124 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148868 | Andrew Ogle | Specialist | 6125 Ne Cornell Rd Ste 250, Hillsboro, OR 97124-5417 | 2015-07-06 |
| 1730519877 | William Platt | Specialist | 3265 Se Pine St, Hillsboro, OR 97123-7745 | 2013-11-26 |
| 1508139841 | Joelle Irvine | Specialist | 19360 Nw Cornell Rd, Hillsboro, OR 97124-9378 | 2012-02-16 |
| 1477839173 | Jessica Torrey | Specialist | 2001 Nw Aloclek Dr # M049, Hillsboro, OR 97124-8050 | 2011-10-25 |
| 1861712705 | Nancy Jeanne Klos | Specialist | 10820 Business 21, Suite 207, Hillsboro, MO 63050-5222 | 2010-06-02 |
| 1831326917 | Nadja L Knighte | Specialist | 3413 Se Royalstar Ave, Hillsboro, OR 97123-5359 | 2009-06-16 |
| 1245388693 | Westside Urology Associates, LLP | Specialist | 333 Se 7th Ave Ste 4500, Hillsboro, OR 97123-4177 | 2007-01-08 |
| 1518026863 | Garth Paul Pfeifer | Specialist | 620 Se Oak St, Suite F, Hillsboro, OR 97123-4160 | 2006-12-06 |
| 1538101746 | Bradley J Bergquist | Specialist | 527 Se Baseline St Ste F, Hillsboro, OR 97123-4149 | 2006-06-12 |
| 1275505448 | Center for Medical Imaging LLC | Specialist | 10810 Ne Cornell Rd Ste 100, Hillsboro, OR 97124-9219 | 2006-02-02 |
| 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.