MS. CERRIDWEN LAUREL MARTIN (NPI# 1104462134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104462134 |
| Entity Type | Individual |
| Full Name | MS. CERRIDWEN LAUREL MARTIN |
| Practice Address |
775 Monroe St. Eugene OR 97402 |
| Practice Telephone | 5417622009 |
| Mailing Telephone | 5417622009 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 25402 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
775 MONROE ST. |
| City | EUGENE |
| State | OR |
| Zip Code | 97402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| 1689021396 | Malena Vega | Counselor | 1790 W. 11th Ave, Eugene, OR 97402 | 2016-05-23 |
| Find all providers in zip 97402 | ||||
| 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 |
|---|---|---|---|---|
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1811503428 | Steven J Fletcher | Massage Therapist | 505 E 34th Ave, Eugene, OR 97405-3840 | 2020-09-18 |
| 1295350395 | Miriam Newman-paul | Massage Therapist | 260 Oakway Ctr, Eugene, OR 97401-5663 | 2020-06-15 |
| 1063043057 | Rachel Loraine Klemmer | Massage Therapist | 1789 Camelot Ave, Eugene, OR 97404-2689 | 2020-01-29 |
| 1801426838 | David Levin | Massage Therapist | 3575 Donald St Ste 620, Eugene, OR 97405-4775 | 2020-01-17 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1962046235 | Dawn Cypress Broadnax | Massage Therapist | 150 Shelton Mcmurphey Blvd Ste 207, Eugene, OR 97401-5015 | 2019-10-30 |
| 1568013050 | Cassie Cowen | Massage Therapist | 1601 Willamette St # 2, Eugene, OR 97401-4013 | 2019-09-25 |
| 1003461161 | Sarah Marie Puar | Massage Therapist | 790 W 8th Ave Ste 2a, Eugene, OR 97402-5165 | 2019-08-06 |
| Find all providers in EUGENE | ||||
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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.