MS. HEATHER MARIE ELLISON (NPI# 1154606887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154606887 |
| Entity Type | Individual |
| Full Name | MS. HEATHER MARIE ELLISON |
| Credential | L.M.T |
| Practice Address |
22000 Willamette Dr. #107 West Linn OR 97068 |
| Practice Telephone | 5037228888 |
| Practice Fax Number | 5037229422 |
| Mailing Telephone | 5037228888 |
| Mailing Fax Number | 5037229422 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2017-07-13 |
| NPI Deactivation Date | 04/04/2016 |
| NPI Reactivation Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 15510 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487935094 | Heather Brooke Ellison | Chiropractor | 513 S Dekalb St, Shelby, NC 28150-5926 | 2011-09-09 |
| Street Address |
22000 WILLAMETTE DR. #107 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| 1922312149 | Richard Barrett King | Behavioral Analyst | 19890 Roan Circle, West Linn, OR 97068 | 2010-07-29 |
| Find all providers in zip 97068 | ||||
| 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 |
|---|---|---|---|---|
| 1891191375 | Emily Hansen | Massage Therapist | 22204 Skyview Dr, West Linn, OR 97068-8232 | 2014-11-12 |
| 1063703056 | Jorge M Kuri | Massage Therapist | 22193 Horizon Dr, West Linn, OR 97068-8254 | 2011-04-25 |
| 1811288806 | Cindy Brehl | Massage Therapist | 18750 Willamette Dr Ste F, West Linn, OR 97068-1700 | 2011-04-25 |
| 1417270596 | Kristin Ann Madden | Massage Therapist | 22000 Willamette Dr, #107, West Linn, OR 97068-3275 | 2010-03-03 |
| 1497078570 | Rita Petersen | Massage Therapist | 22000 Willamette Dr Ste 107, West Linn, OR 97068-3210 | 2010-03-03 |
| 1447482864 | Bernadette Teresa Mckee | Massage Therapist | 19022 Old River Dr, West Linn, OR 97068-1041 | 2009-08-18 |
| 1619112802 | Maureen J Mayfield | Massage Therapist | 2150 8th Ct, West Linn, OR 97068-4365 | 2008-12-02 |
| 1245403559 | Lyndalea Ruffner | Massage Therapist | 19995 Suncrest Dr, West Linn, OR 97068-4820 | 2008-04-08 |
| 1205908613 | Sharon Weldon | Massage Therapist | 18813 Willamette Dr, West Linn, OR 97068-1711 | 2006-11-14 |
| 1740231950 | Sarah E Colarchik | Massage Therapist | 2008 Willamette Falls Drive, #200 A, West Linn, OR 97068 | 2006-05-12 |
| Find all providers in WEST LINN | ||||
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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.