GEMINI THERAPEUTICS (NPI# 1235590647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235590647 |
| Entity Type | Organization |
| Organization Name | GEMINI THERAPEUTICS |
| Other Organization Name | ARBOR VITAE BODYWORK LLC |
| Practice Address |
61277 Splendor Ln Bend OR 97702-2974 |
| Mailing Address |
Po Box 6507 Bend OR 97708-6507 |
| Practice Telephone | 3409981961 |
| Mailing Telephone | 3409981961 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | LOREN MAHAFFEY (OWNER/THERAPIST) |
| Authorized Official Telephone | 3409981961 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19743 | OR | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Arbor Vitae Bodywork LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GEMINI THERAPEUTICS, LLC | 61277 Splendor Ln, Bend, OR 97702 |
| Street Address |
61277 SPLENDOR LN |
| City | BEND |
| State | OR |
| Zip Code | 97702-2974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609237015 | Loren Mahaffey | Specialist | 61277 Splendor Ln, Bend, OR 97702-2974 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588116180 | Jill Burrows | Specialist | 1546 Nw 3rd St, Bend, OR 97703-2307 | 2016-10-29 |
| 1659825909 | Jordan English | Specialist | 1353 Ne 7th St, Bend, OR 97701-4313 | 2016-08-03 |
| 1114333465 | Donna Chisholm | Specialist | 1435 Nw West Hills Ave, Bend, OR 97701-1040 | 2014-07-08 |
| 1023430139 | Danette Colovos | Specialist | 376 Sw Bluff Dr Ste 2, Bend, OR 97702-1399 | 2014-01-08 |
| 1417384157 | Marci Drum | Specialist | 805 Sw Industrial Way Ste 8, Bend, OR 97702-1093 | 2013-09-26 |
| 1083048276 | Sally Champa | Specialist | 816 Nw Hill St, Bend, OR 97701-2925 | 2013-08-24 |
| 1831466853 | Kate Harper Smith | Specialist | 867 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-5968 | 2011-11-18 |
| 1962787341 | Paige Robinson | Specialist | 1232 Nw Milwaukee Ave, Bend, OR 97701-2209 | 2011-10-17 |
| 1346545720 | Robbie Bianchi Dee Bianchi | Specialist | 60801 Brosterhous Rd, Bend, OR 97702-9738 | 2011-01-17 |
| 1275851867 | Evan Ernest Smith | Specialist | 1314 Ne 8th St, Bend, OR 97701-4469 | 2010-05-06 |
| Find all providers in BEND | ||||
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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.