SHELBY MASSINGALE


Address: 1014 Main Street, Vancouver, WA 98660
Phone: 3606951014

SHELBY MASSINGALE (NPI# 1174099881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174099881
Entity Type Individual
Full Name SHELBY MASSINGALE
Practice Address 1014 Main Street
Vancouver
WA 98660
Practice Telephone 3606951014
Mailing Telephone 3606951014
Enumeration Date 2018-10-19
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor Y

Office Location

Street Address 1014 MAIN STREET
City VANCOUVER
State WA
Zip Code 98660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053347070 David Cameron Hunter Counselor 1014 Main Street, Vancouver, WA 98660 2006-06-23
1215400296 Lynn Anne Roberts Counselor 1014 Main Street, Vancouver, WA 98660 2019-01-02
1568942415 Nicole Rose Kennedy Student in an Organized Health Care Education/Training Program 1014 Main Street, Vancouver, WA 98660 2018-08-20
1053820498 Kalinda R Ferguson Counselor 1014 Main Street, Vancouver, WA 98660 2017-09-28
1154851574 Aimee Amodio Social Worker 1014 Main Street, Vancouver, WA 98660 2017-06-18
1275063737 Richard Clark Counselor 1014 Main Street, Vancouver, WA 98660 2017-06-18
1508307075 Ezekiel Brouhard Assistant Behavior Analyst 1014 Main Street, Vancouver, WA 98660 2017-03-16
1427508639 Samuel Moore Counselor 1014 Main Street, Vancouver, WA 98660 2016-10-12
1144774548 Kayla Lindsay Klemm Counselor 1014 Main Street, Vancouver, WA 98660 2016-08-15
1316301682 Leah Blanton Counselor 1014 Main Street, Vancouver, WA 98660 2016-04-12
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NPI Name Taxonomy Address Enumeration
1538779137 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 781 W Columbia Way, Vancouver, WA 98660 2020-08-07
1538641527 Melissa Molly Sivaram Counselor 1012 Esther St, Vancouver, WA 98660 2018-09-05
1679082598 Christopher Lewis Schwab Peer Specialist 5197 Nw Lower River Rd, Vancouver, WA 98660 2017-09-22
1023560141 Disabled Veterans Hawaii LLC Durable Medical Equipment & Medical Supplies 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 2016-10-25
1023493004 Laura Nicole Wood Counselor 1104 Main St Ste M100, Vancouver, WA 98660 2015-07-20
1790034627 Clark County Juvenile Court Marriage & Family Therapist 500 W 11th Street, Vancouver, WA 98660 2012-09-06
1538439104 Hutton Chiropractic Clinic Inc Chiropractor 703 Broadway Street, Ste 650, Vancouver, WA 98660 2012-01-12
1134422629 Brenda Marie Bible Social Worker 101 E 8th St Ste 110, Vancouver, WA 98660 2010-12-06
1871895409 Donna L Benedicktus Contractor 210 E Evergreen Blvd, Vancouver, WA 98660 2010-12-02
1992007801 Peter Ray Hasemeier Massage Therapist 805 Broadway St., Vancouver, WA 98660 2010-11-29
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Taxonomy Information

Taxonomy Definition

Competitor

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City VANCOUVER
Zip Code 98660

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Dataset Information

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.

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