MRS. NICOLE P DEMETRESCU (NPI# 1255687083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255687083 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE P DEMETRESCU |
| Other Name | MISS NICOLE DANIELLE PACKER |
| Credential | PT |
| Practice Address |
209 Main Ave S Suite 111 North Bend WA 98045-8139 |
| Practice Telephone | 4258883347 |
| Practice Fax Number | 4258883348 |
| Mailing Telephone | 4258883347 |
| Mailing Fax Number | 4258883348 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT60283444 | WA | Other Service Providers |
| Street Address |
209 MAIN AVE S SUITE 111 |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045-8139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467413161 | Dean W Steele | Emergency Medicine | 209 Main Ave S, Suite 115, North Bend, WA 98045-8139 | 2006-03-31 |
| 1699252338 | Kelsey Leigh Valach | Counselor | 209 Main Ave S, North Bend, WA 98045-8139 | 2018-07-25 |
| 1164935425 | Genealle Visagorskis | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045-8139 | 2017-11-08 |
| 1043733579 | Kristen Morita | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045-8139 | 2017-07-17 |
| 1083134852 | Autumn Rose Howard | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045 | 2017-06-22 |
| 1902278468 | Erica Gonzalez | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045-8139 | 2015-10-23 |
| 1700253663 | Alyssa Kaye Carlson | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045-8139 | 2015-08-26 |
| 1285987834 | Kimbre Leigh Hall | Occupational Therapist | 209 Main Ave S, Suite 111, North Bend, WA 98045-8139 | 2012-10-19 |
| 1194081026 | Gillian Mae Ellis | Speech-Language Pathologist | 209 Main Ave S, Suite 111, North Bend, WA 98045-8139 | 2012-04-04 |
| 1356526206 | Lindsey Lee Cooper | Speech-Language Pathologist | 209 Main Ave S, North Bend, WA 98045-8139 | 2008-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| 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 |
|---|---|---|---|---|
| 1679837157 | Christina Lee Colo | Specialist | 2085 Inland Dr Ste A, North Bend, OR 97459-1203 | 2012-06-28 |
| 1871862284 | Julie Kristen Korssjoen | Specialist | 13710 461st Pl Se, North Bend, WA 98045-8865 | 2011-12-14 |
| 1356661243 | Christie A Schell | Specialist | 67644 Mettman Creek Rd, North Bend, OR 97459-7570 | 2010-06-02 |
| 1487719779 | Roxanne Rust | Specialist | 301 W. North Bend Way, Suite 201, North Bend, WA 98045 | 2006-12-27 |
| 1730252552 | Sharon Ann Sandin | Specialist | 209 Main Ave So, Suite 102, North Bend, WA 98045-1521 | 2006-11-17 |
| 1336225283 | Christa Louise Mcvicker | Specialist | 213 Bendigo Blvd. N. #3, North Bend, WA 98045 | 2006-10-31 |
| 1194043687 | Gary Pickett | Specialist | 2472 Broadway, North Bend, OR 97459 | 2010-05-10 |
| 1629216494 | Sara Hayes | Specialist | 231 Bendigo Blvd N, North Bend, WA 98045-8259 | 2009-02-01 |
| 1316065899 | North Bend Therapeutic Massage | Specialist | 410 North Bend Way, North Bend, WA 98045 | 2007-03-26 |
| 1164537882 | Gregory Schandelmeier | Specialist | 2191 Marion St, North Bend, OR 97459-2314 | 2006-08-20 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
Please comment or provide details below to improve the information on MRS. NICOLE P DEMETRESCU.
| 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.