BAYLEE MELCINE BOUSTEAD (NPI# 1093348708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093348708 |
Entity Type | Individual |
Full Name | BAYLEE MELCINE BOUSTEAD |
Other Name | BAYLEE MELCINE DUNKEL |
Credential | LMT |
Practice Address |
114 E Hancock St Newberg OR 97132-2822 |
Mailing Address |
4709 Ne 41st St Vancouver WA 98661-8808 |
Practice Telephone | 5035540661 |
Mailing Telephone | 3607134881 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | LMT-23832 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
114 E HANCOCK ST |
City | NEWBERG |
State | OR |
Zip Code | 97132-2822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316054711 | Julie E Mock | Chiropractor | 114 E Hancock St, Newberg, OR 97132-2822 | 2006-08-23 |
1891332706 | Juliette Olivia Deacon | Massage Therapist | 114 E Hancock St, Newberg, OR 97132-2822 | 2019-12-10 |
1538633235 | Cortni Kalick | Massage Therapist | 114 E Hancock St, Newberg, OR 97132-2822 | 2019-01-15 |
1487167391 | Megan Taylor Nelson | Massage Therapist | 114 E Hancock St, Newberg, OR 97132-2822 | 2017-11-14 |
1215486253 | Rosie Bardakji | Specialist | 114 E Hancock St, Newberg, OR 97132-2822 | 2016-10-03 |
1841626025 | Lindsay Rae Carr | Chiropractor | 114 E Hancock St, Newberg, OR 97132-2822 | 2013-09-19 |
1124386289 | Jacob Malpass | Chiropractor | 114 E Hancock St, Newberg, OR 97132-2822 | 2012-04-26 |
1376816413 | Melisa Kae Parker | Massage Therapist | 114 E Hancock St, Newberg, OR 97132-2822 | 2012-02-21 |
1093954810 | Anna Louise Rossi | Chiropractor | 114 E Hancock St, Newberg, OR 97132-2822 | 2009-02-18 |
1851517759 | Desiree Lynn Lefave | Midwife, Lay | 114 E Hancock St, Newberg, OR 97132-2822 | 2007-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
Find all providers in zip 97132 |
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 |
---|---|---|---|---|
1083250898 | Travis Woodward | Massage Therapist | 414 E 9th St Apt 13, Newberg, OR 97132-3364 | 2019-11-27 |
1487203584 | Renewal Bodyworks, LLC | Massage Therapist | 2855 Hayes St Ste 204, Newberg, OR 97132-1390 | 2019-09-11 |
1285107292 | Rebecca Minifie, Lmt, LLC | Massage Therapist | 108 S College St Ste B, Newberg, OR 97132-3110 | 2019-01-03 |
1043739980 | Hannah Elisabeth Wiley | Massage Therapist | 901 Brutscher St Ste 208, Newberg, OR 97132-6097 | 2017-09-12 |
1578964441 | Melissa Rinne | Massage Therapist | 2855 E Hayes St Ste 204, Newberg, OR 97132-1390 | 2014-09-10 |
1871909325 | Katharine Leilani Suppan | Massage Therapist | 21440 Sw Wildflower Dr, Newberg, OR 97132-9401 | 2014-07-05 |
1285985945 | Natalie Davis | Massage Therapist | 710 Foothills Dr, 103, Newberg, OR 97132-6124 | 2012-09-20 |
1083960462 | Debbie Sue Taylor | Massage Therapist | 2501 Portland Rd, Newberg, OR 97132-1965 | 2012-08-03 |
1629307889 | Timothy P Wilcox | Massage Therapist | 408 E 1st St, Newberg, OR 97132-2938 | 2009-12-17 |
1720287279 | Kristen L Seaton | Massage Therapist | 1524 Mill Ct, Newberg, OR 97132-3824 | 2007-07-15 |
Find all providers in NEWBERG |
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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.