MR. DAMON E IACOVELLI (NPI# 1083903363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083903363 |
Entity Type | Individual |
Full Name | MR. DAMON E IACOVELLI |
Credential | LMT |
Practice Address |
270 Ne 181st Ave Portland OR 97230-6663 |
Mailing Address |
4309 Se Tibbetts St Portland OR 97206-3124 |
Practice Telephone | 5036691966 |
Mailing Telephone | 5033801021 |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-04-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 17153 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
270 NE 181ST AVE |
City | PORTLAND |
State | OR |
Zip Code | 97230-6663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093877847 | Hood View Chiropractic, Inc. | Chiropractor | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2006-12-15 |
1457721698 | Hcc, PC | Chiropractor | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2015-09-30 |
1184055329 | Candis Dow | Massage Therapist | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2013-12-12 |
1598002826 | Amy Lynn Hanson | Chiropractor | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2013-01-07 |
1124362041 | Robert J Williams LLC | Acupuncturist | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2012-11-15 |
1619112794 | Hood View Chiropractic | Chiropractor | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2008-12-03 |
1679796080 | Robert J Williams | Acupuncturist | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2007-04-11 |
1053433268 | Gregory Ross | Chiropractor | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2007-04-06 |
1558405837 | Claire Haser | Massage Therapist | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2007-02-19 |
1205999554 | Nathan John Nordstrom | Massage Therapist | 270 Ne 181st Ave, Portland, OR 97230-6663 | 2006-12-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
Find all providers in zip 97230 |
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.