MR. SAMUEL KENNEDY (NPI# 1174139018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174139018 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL KENNEDY |
| Credential | LMT |
| Practice Address |
2167 Nw 185th Ave Hillsboro OR 97124-7074 |
| Mailing Address |
1551 Sw 172nd Ter Unit 403 Beaverton OR 97003-4266 |
| Practice Telephone | 5033865322 |
| Mailing Telephone | 9706859515 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 25995 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798285 | Samuel Kennedy | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2020-04-05 |
| 1962966457 | Samuel Kennedy | Case Manager/Care Coordinator | 1301 N High St, Columbus, OH 43201-2460 | 2019-01-29 |
| 1346625324 | Samuel Kennedy | Counselor | 2711 E Madison St, Seattle, WA 98112 | 2015-07-20 |
| Street Address |
2167 NW 185TH AVE |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-7074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840219 | Charish Ingram | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2016-01-28 |
| 1902441678 | Jackie Taylor | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-11-16 |
| 1285279950 | Rebecca Campbell | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-11-16 |
| 1871135566 | Sean Michael Dunn | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-10-14 |
| 1346881828 | Andrew Robert Proebstel | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-10-04 |
| 1821639592 | Jeremy Ryan Smith | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-10-03 |
| 1811547516 | Andrew Kalsnes | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-09-13 |
| 1992351357 | Frederic Vernon Stutzman | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-08-12 |
| 1558828772 | William T Wooten | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2019-02-24 |
| 1508337486 | Jesse Brandon Fritz | Massage Therapist | 2167 Nw 185th Ave, Hillsboro, OR 97124-7074 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| 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 |
|---|---|---|---|---|
| 1386268654 | Ethan Wingate | Massage Therapist | 1472 N High St Ste 900, Hillsboro, OH 45133-1642 | 2020-06-03 |
| 1336603844 | Susan Chriswisser | Massage Therapist | 160 Se Washington St Apt 323, Hillsboro, OR 97123-4270 | 2019-01-29 |
| 1093288276 | Shanshan Xing | Massage Therapist | 3499 Ne John Olsen Ave, Hillsboro, OR 97124-5808 | 2019-01-09 |
| 1881175032 | Christie Muehe | Massage Therapist | 385 Ne Gwen Ct, Hillsboro, OR 97124-2140 | 2018-08-26 |
| 1144710948 | Andrea Phipps | Massage Therapist | 328 W Main St Ste 400, Hillsboro, OR 97123-3918 | 2018-05-16 |
| 1487154258 | Sara Andrea Arguello-martin | Massage Therapist | 21995 Sw Finnigan Hill Rd, Hillsboro, OR 97123-8828 | 2018-02-17 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1598263311 | Jordan Alexander Mitchell | Massage Therapist | 3653 Ne John Olsen Ave, Hillsboro, OR 97124-5815 | 2018-01-26 |
| 1366954539 | Jamie Ann Holloway | Massage Therapist | 2350 Ne Griffin Oaks St Ste 100, Hillsboro, OR 97124-2374 | 2017-10-27 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on MR. SAMUEL KENNEDY.
| 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.