DESIRE JACKSON (NPI# 1285010538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285010538 |
| Entity Type | Individual |
| Full Name | DESIRE JACKSON |
| Practice Address |
8975 Sw Sweek Dr Apt 222 Tualatin OR 97062-7481 |
| Practice Telephone | 5035442020 |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20590 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8975 SW SWEEK DR APT 222 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547021 | Impact Injury Center, LLC | Massage Therapist | 19365 Sw 65th Ave Ste 105, Tualatin, OR 97062-9196 | 2017-09-12 |
| 1104234251 | Mashayla Yeo | Massage Therapist | 24655 Sw 65th Ave, Tualatin, OR 97062-7761 | 2014-07-31 |
| 1841617750 | Jennifer Angela Hellberg | Massage Therapist | 8625 Sw Tualatin Rd, Tualatin, OR 97062-9480 | 2014-03-28 |
| 1669711131 | Mandy Jean Beeman | Massage Therapist | 19365 Sw 65th Ave Ste 204, Tualatin, OR 97062-9196 | 2013-02-04 |
| 1609120369 | Jennifer Linn Newton | Massage Therapist | 8215 Sw Tualatin-sherwood Rd, Suite 200, Tualatin, OR 97062 | 2012-11-02 |
| 1316255573 | Jessica Sigari | Massage Therapist | 8481 Sw Warm Springs St, Tualatin, OR 97062-9089 | 2010-09-21 |
| 1154636504 | Mindy Ivy Todd | Massage Therapist | 7052 Sw Nyberg Street, Tualatin, OR 97062 | 2010-08-10 |
| 1679892137 | Dustin Lindsey | Massage Therapist | 18791 Sw Martinazzi Ave, Suite 110b, Tualatin, OR 97062-6891 | 2010-05-24 |
| 1669530705 | Family Health and Wellness, P.C. | Massage Therapist | 19365 Sw 65th Ave Ste 111, Tualatin, OR 97062-9196 | 2006-12-04 |
| 1417021262 | Jonathan Denton | Massage Therapist | 7052 Sw Nyberg St, Tualatin, OR 97062-9231 | 2006-11-20 |
| Find all providers in TUALATIN | ||||
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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.