GRESHAM THERAPEUTIC MASSAGE CENTER (NPI# 1205206497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205206497 |
| Entity Type | Organization |
| Organization Name | GRESHAM THERAPEUTIC MASSAGE CENTER |
| Practice Address |
1748 Nw Fairview Dr Gresham OR 97030-3842 |
| Practice Telephone | 5034923910 |
| Mailing Telephone | 5034923910 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | HEATHER HOARD (OWNER) |
| Authorized Official Telephone | 5034923910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 19488 | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295182848 | Gresham Therapeutic Massage Center | Public Health or Welfare | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-05-24 |
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 1144637448 | Gresham Therapeutic Massage Center | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2014-07-18 |
| 1033317474 | Gresham Therapeutic Massage Center | Specialist | 1217 Ne Burnside Rd, Suite 502, Gresham, OR 97030-6722 | 2007-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRESHAM THERAPEUTIC MASSAGE CENTER, CORPORATION | 1748 Nw Fairview Dr, Gresham, OR 97030 |
| Street Address |
1748 NW FAIRVIEW DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098056 | Marie H Mason | Chiropractor | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2006-09-26 |
| 1942808720 | Rachel Owens | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2020-10-13 |
| 1770142986 | David Hotchkiss | Specialist/Technologist, Other | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-06-11 |
| 1720642614 | Cole Hoard | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-04-25 |
| 1114483153 | Kyle Paladeni | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-02-14 |
| 1982146858 | Cheryl Higgins | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030 | 2016-11-09 |
| 1073065017 | Fannie Phillips | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-10-25 |
| 1295182848 | Gresham Therapeutic Massage Center | Public Health or Welfare | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-05-24 |
| 1699131334 | Bruce Carter | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-01-11 |
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336519529 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1760092167 | Charlotte Kreftmeyer | Home Health | 661 Skyhawk Dr, Ontario, OR 97914-3143 | 2020-07-31 |
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1912533506 | Lucas Home Care, LLC | Home Health | 230 Se 3rd St # 100, Bend, OR 97702-9949 | 2020-03-16 |
| 1700421682 | Janelle S Foote | Home Health | 36540 Highway 140, Beatty, OR 97621-9706 | 2019-11-14 |
| 1972154441 | For The People LLC | Home Health | 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 | 2019-09-25 |
| 1093363426 | Apex Health and Wellness | Home Health | 436 N Laurel St, Ashland, OR 97520-1113 | 2019-08-28 |
| 1962056341 | Cascade Specialized Nursing, LLC. | Home Health | 20831 Se Firwood Rd, Sandy, OR 97055-9487 | 2019-07-24 |
| 1528620887 | Chareese R Borland | Home Health | 2240 Nolan Ln, West Linn, OR 97068-4243 | 2019-07-07 |
| 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.