ANN ELAINE WILSON (NPI# 1093911679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911679 |
| Entity Type | Individual |
| Full Name | ANN ELAINE WILSON |
| Credential | D.C. |
| Practice Address |
4410 Ne Fremont St Portland OR 97213-1154 |
| Practice Telephone | 5032490114 |
| Practice Fax Number | 5032495638 |
| Mailing Telephone | 5032490114 |
| Mailing Fax Number | 5032495638 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 27 2903 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678844 | Ann Elizabeth Wilson | Occupational Therapy Assistant | 1803 Woodfield Dr, Savoy, IL 61874-8815 | 2019-06-14 |
| 1528312725 | Ann Wilson | Psychologist | 9911 Sterling Village Dr, Rosharon, TX 77583-0017 | 2012-11-09 |
| 1376759613 | Ann L Wilson | Dentist | 671 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2007-05-15 |
| 1902911829 | Ann M Wilson | Podiatrist | 1428 N State Highway 47, Suite D, Warrenton, MO 63383-1375 | 2006-08-20 |
| 1578570883 | Ann M Wilson | Counselor | 2854 Johnson Ferry Rd, Suite 200, Marietta, GA 30062-5699 | 2006-08-01 |
| 1063052884 | Ann Wilson | Physical Therapist | 317 Seven Springs Way Ste 202, Brentwood, TN 37027-4992 | 2020-01-09 |
| 1871013706 | Ann L. Wilson | Counselor | 333 N Dobson Rd Ste 15, Chandler, AZ 85224-4412 | 2017-06-21 |
| 1124473137 | Ann Wilson | Assisted Living Facility | 1326 Nw 113th Ter, Coral Springs, FL 33071-6471 | 2016-04-27 |
| 1265807028 | Ann Wilson | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-12-04 |
| 1679820971 | Ann W Wilson | Physical Therapist | 4750 Wesley Ave, Norwood, OH 45212-2244 | 2012-08-07 |
| Street Address |
4410 NE FREMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861957482 | Allison Victoria Guyn | Chiropractor | 4410 Ne Fremont St, Portland, OR 97213-1154 | 2019-02-07 |
| 1649715368 | Cecily Richey | Massage Therapist | 4410 Ne Fremont St, Portland, OR 97213-1154 | 2017-01-04 |
| 1497177844 | Eddy Mydouangchanh | Chiropractor | 4410 Ne Fremont St, Portland, OR 97213 | 2014-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| 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.