DR. RYAN LEE SKELTON (NPI# 1245554567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245554567 |
| Entity Type | Individual |
| Full Name | DR. RYAN LEE SKELTON |
| Credential | PSY. D. |
| Practice Address |
123 E Powell Blvd 305 Gresham OR 97030-7624 |
| Practice Telephone | 5037899394 |
| Mailing Telephone | 5037899394 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1911 | OR | Behavioral Health & Social Service Providers |
| Street Address |
123 E POWELL BLVD 305 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856642 | Charles Richard O'bannon | Psychologist | 123 E Powell Blvd, Ste. 212, Gresham, OR 97030-7622 | 2005-10-27 |
| 1619304821 | Mindy Laframboise | Counselor | 123 E Powell Blvd, Suite 212, Gresham, OR 97030-7624 | 2013-10-02 |
| 1780955138 | Douglas Meacham | Massage Therapist | 123 E Powell Blvd, # 304, Gresham, OR 97030-7624 | 2012-01-17 |
| 1760791271 | Deanne Warner | Social Worker | 123 E Powell Blvd, Ste. 212, Gresham, OR 97030-7624 | 2010-09-30 |
| 1861638405 | Richard L Sansom | Counselor | 123 E Powell Blvd, Suite # 303, Gresham, OR 97030-7624 | 2009-01-04 |
| 1174797500 | Angela M Caiazza | Marriage & Family Therapist | 123 E Powell Blvd, Suite #303, Gresham, OR 97030-7624 | 2008-04-16 |
| 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 | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809164 | Jay Wilkinson | Psychologist | 1700 Nw Civic Dr, Suite 310, Gresham, OR 97030-3770 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457771354 | Ana Snegireff | Psychologist | 4722 Oak Park Dr Ne, Salem, OR 97305-2928 | 2014-04-18 |
| 1740616325 | Kathleen Gregorich Hoffman | Psychologist | 3245 Nw Thurman St, Portland, OR 97210-1224 | 2013-09-16 |
| 1558708461 | Anthony Michael Duncan | Psychologist | 2236 Se Belmont St, Portland, OR 97214-2817 | 2013-05-31 |
| 1811253461 | Britania Latronica | Psychologist | 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 | 2012-04-09 |
| 1285904094 | Susan J Mcpherson Phd PC | Psychologist | 975 Willagillespie Rd Ste 202, Eugene, OR 97401-2104 | 2012-01-10 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| 1346574449 | Jerusha Beth Detweiler-bedell | Psychologist | 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 | 2009-09-23 |
| 1386845048 | Morris Tiktin | Psychologist | 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 | 2007-05-30 |
| 1235341629 | Muriel D. Lezak | Psychologist | 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 | 2007-05-05 |
| 1952528952 | Melisa L. Finch | Psychologist | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2007-04-19 |
| 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.