ALCHEMY WELLNESS (NPI# 1154841195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154841195 |
| Entity Type | Organization |
| Organization Name | ALCHEMY WELLNESS |
| Other Organization Name | ALCHEMY WELLNESS |
| Practice Address |
1320 Nw 20th Ave Portland OR 97209-1607 |
| Practice Telephone | (503) 939-8205 |
| Practice Fax Number | 5037198243 |
| Mailing Telephone | 5039398205 |
| Mailing Fax Number | 5037198243 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | CHERYL GREATHOUSE (OWNER) |
| Authorized Official Telephone | 5039398205 |
| Authorized Official Credential | LMT, LPC-INTERN |
| Is Organization Subpart | Y |
| Parent Organization Name | FREEDOM RISING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Alchemy Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALCHEMY WELLNESS | 1320 Nw 20th Ave, Portland, OR 97209 |
| Street Address |
1320 NW 20TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023292935 | Cheryl Lynn Greathouse | Counselor | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2007-12-27 |
| 1013522119 | Valerie A Premore | Acupuncturist | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2020-09-15 |
| 1487296323 | Sarah Shah | Massage Therapist | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2019-10-11 |
| 1467950089 | Simon Sharkey-jacoby | Acupuncturist | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2018-01-29 |
| 1821547118 | Janet Lynn Wrege | Acupuncturist | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2016-09-27 |
| 1811354871 | Nichole Slykhous | Registered Nurse | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2016-01-21 |
| 1093136400 | Jennifer Bode | Massage Therapist | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2014-01-02 |
| 1932435542 | Whole Body Healing & Wellness Clinic | Chiropractor | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2009-11-02 |
| 1043545445 | Steven J Dellisanti Jr. | Chiropractor | 1320 Nw 20th Ave, Portland, OR 97209-1607 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| 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.