MRS. MAUREEN MCCLENON SACON (NPI# 1205055100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205055100 |
| Entity Type | Individual |
| Full Name | MRS. MAUREEN MCCLENON SACON |
| Credential | D.O. |
| Practice Address |
22400 Se Stark St Gresham OR 97030-2656 |
| Mailing Address |
Po Box 266 Underwood WA 98651-0266 |
| Practice Telephone | 5034915555 |
| Practice Fax Number | 5036745005 |
| Mailing Telephone | 5034915555 |
| Mailing Fax Number | 5036745005 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO20023 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
22400 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095597 | Ronald L Kerns | Optometrist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2005-07-07 |
| 1336786953 | Okaeri Massage Therapy LLC | Mechanotherapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-12-02 |
| 1962048538 | Samantha Walker | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-19 |
| 1902440738 | Tina Gadzala Lmt | Clinic/Center | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-05 |
| 1275177628 | Lauren Sutton | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-10-29 |
| 1609340710 | Emily Anderson Steele | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-01-11 |
| 1225557549 | Christina Gadzala | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2017-09-19 |
| 1609228238 | Danielle | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2016-07-07 |
| 1194175638 | Katherine Zieman | Naturopath | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2016-06-15 |
| 1407283237 | Bridges Family Wellness PC | Clinic/Center | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2013-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174997423 | Valleyview Injury & Physical Medicine, PC | Neuromusculoskeletal Medicine & OMM | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1494 | 2015-11-24 |
| 1831186774 | Brian George Knight | Neuromusculoskeletal Medicine & OMM | 1217 Ne Burnside Rd, Suite 103, Gresham, OR 97030 | 2005-10-05 |
| 1386630010 | Brian Knight Do LLC | Neuromusculoskeletal Medicine & OMM | 1217 Ne Burnside Rd, Suite 103, Gresham, OR 97030 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614449 | Keith Turner Slicho, Do, PC | Neuromusculoskeletal Medicine & OMM | 700 Ne Multnomah St Ste 330, Portland, OR 97232-4103 | 2020-03-13 |
| 1891165544 | Still Point Osteopathy and Medical Acupuncture, LLC | Neuromusculoskeletal Medicine & OMM | 2955 N Highway 97, Bend, OR 97703-7559 | 2015-10-06 |
| 1336549179 | Anna Lobzova | Neuromusculoskeletal Medicine & OMM | 3620 Nw Samaritan Dr Ste 203a, Corvallis, OR 97330-4714 | 2014-08-29 |
| 1508203332 | Brian Moreaux | Neuromusculoskeletal Medicine & OMM | 850 Siskiyou Blvd Ste 7, Ashland, OR 97520-2125 | 2013-06-03 |
| 1427301035 | Patrick J Wedlake Do PC | Neuromusculoskeletal Medicine & OMM | 85o Siskiyou Blvd, Ste 9, Ashland, OR 97520-2125 | 2012-10-19 |
| 1548402811 | Juliette Sophie Preston | Neuromusculoskeletal Medicine & OMM | 3303 Sw Bond Ave Fl 8, Portland, OR 97239-4501 | 2009-04-01 |
| 1528231636 | Hannah M Fine | Neuromusculoskeletal Medicine & OMM | 1007 Harlow Rd Ste 310, Springfield, OR 97477-7127 | 2008-04-09 |
| 1093841397 | Thomas David Peterson | Neuromusculoskeletal Medicine & OMM | 1178 Charnelton St, Eugene, OR 97401-3431 | 2007-02-23 |
| 1063589323 | Paul E Dart | Neuromusculoskeletal Medicine & OMM | 3495 Harris Street, Eugene, OR 97405-4248 | 2006-11-29 |
| 1629147400 | Paula Lorene Eschtruth | Neuromusculoskeletal Medicine & OMM | 1320 Edgewater St Nw, Suite 110, Salem, OR 97304 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
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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.