SUSAN VANCLEVE (NPI# 1083850424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083850424 |
| Entity Type | Individual |
| Full Name | SUSAN VANCLEVE |
| Other Name | SHELBY VANCLEVE |
| Credential | M.AC.O.M., L.AC. |
| Practice Address |
22400 Se Stark St Gresham OR 97030-2656 |
| Practice Telephone | 5034922600 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC01245 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447300777 | Susan Nickel Vancleve | Nurse Practitioner | Children's Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213 | 2007-01-11 |
| Street Address |
22400 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095597 | Ronald L Kerns | Optometrist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2005-07-07 |
| 1336786953 | Okaeri Massage Therapy LLC | Mechanotherapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-12-02 |
| 1962048538 | Samantha Walker | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-19 |
| 1902440738 | Tina Gadzala Lmt | Clinic/Center | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-05 |
| 1275177628 | Lauren Sutton | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-10-29 |
| 1609340710 | Emily Anderson Steele | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-01-11 |
| 1225557549 | Christina Gadzala | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2017-09-19 |
| 1609228238 | Danielle | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2016-07-07 |
| 1194175638 | Katherine Zieman | Naturopath | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2016-06-15 |
| 1407283237 | Bridges Family Wellness PC | Clinic/Center | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2013-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427818 | David Arthur Valencia | Acupuncturist | 1490 Nw 4th St, Gresham, OR 97030-5306 | 2017-06-13 |
| 1962776864 | Claire Jeanette Kirkendall | Acupuncturist | 123 E Powell Blvd Ste 206, Gresham, OR 97030-7622 | 2012-02-24 |
| 1316216229 | Well Within, LLC | Acupuncturist | 709 Ne 5th St, Gresham, OR 97030 | 2011-12-21 |
| 1922303270 | Addie Harbin Acupuncture LLC | Acupuncturist | 703 Ne Hood Ave, Gresham, OR 97030-5612 | 2011-01-18 |
| 1760710792 | Stephanie Danielle Worth | Acupuncturist | 831 Nw Council Dr Ste 301, Gresham, OR 97030-3725 | 2009-12-02 |
| 1609027150 | Barbara E Solomon | Acupuncturist | 25500 Se Stark St Ste 202, Gresham, OR 97030-8328 | 2008-10-02 |
| 1649454083 | Joseph Arthur Mendez | Acupuncturist | 138 Ne 3rd St, Gresham, OR 97030-7439 | 2007-12-20 |
| 1437374253 | Joseph John Ripplinger | Acupuncturist | 3005 Ne 18th Ct, Gresham, OR 97030-4328 | 2007-04-16 |
| 1164558979 | Christina Lambert | Acupuncturist | 1217 Ne Burnside Rd Ste 301, Gresham, OR 97030-5705 | 2007-02-26 |
| 1518000140 | Andrea Jackson | Acupuncturist | 33 Ne Kelly Ave, Gresham, OR 97030-7539 | 2007-02-14 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on SUSAN VANCLEVE.
| 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.