MR. MICHAEL R.R. FANNING (NPI# 1255898375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255898375 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL R.R. FANNING |
| Practice Address |
722 Sw Sosa Pl Beaverton OR 97003-1643 |
| Practice Telephone | 8083583764 |
| Mailing Telephone | 8083583764 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 1871057828 | Michael Peyton Fanning | Student in an Organized Health Care Education/Training Program | 1550 College St, Macon, GA 31207-1500 | 2019-01-23 |
| 1538691357 | Michael Thomas Fanning | Chiropractor | 16200 Amber Valley Dr, Whittier, CA 90604-4051 | 2017-03-30 |
| 1568837425 | Michael James Fanning | Physician Assistant | 2001 Inwood Rd, Dallas, TX 75390-7201 | 2015-12-03 |
| 1790184638 | Michael Fanning | Psychologist | 210 W Oak St, Palestine, TX 75801-2710 | 2014-08-15 |
| 1306072756 | Michael Dean Fanning | Marriage & Family Therapist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2009-05-29 |
| 1245341411 | Michael John Fanning | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1811977127 | Michael James Fanning | Allergy & Immunology | 500 Corporate Pkwy, Suite 100, Amherst, NY 14226-1263 | 2006-01-20 |
| Street Address |
722 SW SOSA PL |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97003-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619407830 | Sania Lodhi | Counselor | 1510 Sw 172nd Terrace, 304, Beaverton, OR 97003 | 2017-06-20 |
| 1922555432 | Frank Wesley Ohmes | Dental Hygienist | 3280 Sw 170th Ave Apt 604, Beaverton, OR 97003 | 2016-09-01 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1063899508 | Tracy Campos | Dental Hygienist | 20323 Sw Blaine St, Aloha, OR 97003 | 2015-05-05 |
| 1295129104 | Anthony Adams | Dentist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2015-03-28 |
| 1235254731 | Jieyi Zhang | Acupuncturist | 17949 S.w. Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-21 |
| 1396860920 | Clinic for Natural & Chinese Medicine | Acupuncturist | 17949 Sw Tualatin Valley Hwy., Beaverton, OR 97003 | 2007-03-20 |
| 1255303749 | Rebecca Janette Lidel | Pharmacist | 17323 Sw Jay Street, Apt. 303, Beaverton, OR 97003 | 2006-02-07 |
| 1336148030 | Thomas T Pham | Dentist | 14665 Sw Millikan Way, Beaverton, OR 97003 | 2005-07-15 |
| 1427541127 | Julie Prior | Dental Hygienist | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 | 2018-06-07 |
| Find all providers in zip 97003 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1215557269 | Kara Webster | Student in an Organized Health Care Education/Training Program | 20894 Sw Eggert Way, Beaverton, OR 97078-2162 | 2020-04-20 |
| 1336777671 | Yuan Qu | Student in an Organized Health Care Education/Training Program | 16904 Sw Lemongrass Ln, Beaverton, OR 97007-2017 | 2020-03-31 |
| 1265065395 | Davis Lehman | Student in an Organized Health Care Education/Training Program | 4200 Sw 107th Ave Apt 703, Beaverton, OR 97005-3140 | 2020-02-18 |
| 1316404361 | Lauren Taylor Garcia | Student in an Organized Health Care Education/Training Program | 4490 Sw Mueller Dr Apt L304, Beaverton, OR 97078-8054 | 2019-02-26 |
| 1740660372 | Kevin Yeo | Student in an Organized Health Care Education/Training Program | 14110 Sw Allen Blvd Apt 91, Beaverton, OR 97005-4702 | 2015-06-09 |
| 1598145682 | Allyson Burk | Student in an Organized Health Care Education/Training Program | 8339 Sw Shawmut Dr, Beaverton, OR 97007-8593 | 2015-06-03 |
| 1346488434 | Ying Zhang | Student in an Organized Health Care Education/Training Program | 16709 Nw Paisley Dr, Beaverton, OR 97006 | 2009-01-27 |
| 1669096509 | Alina Grimsted | Student in an Organized Health Care Education/Training Program | 12655 Sw Center St Ste 100, Beaverton, OR 97005-1600 | 2020-06-06 |
| 1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
| Find all providers in BEAVERTON | ||||
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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.