ROBERT RUSSELL BENNETT (NPI# 1285786525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285786525 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSELL BENNETT |
| Credential | D.C. |
| Practice Address |
21885 Highway 62 Shady Cove OR 97539 |
| Mailing Address |
Po Box 458 Shady Cove OR 97539-0458 |
| Practice Telephone | 5418783603 |
| Practice Fax Number | 5418783603 |
| Mailing Telephone | 5418783603 |
| Mailing Fax Number | 5418783603 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2769 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 043898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104333863 | Robert Bennett | Nurse Practitioner | 407 Ne Pecos Way, Jensen Beach, FL 34957-6692 | 2018-01-03 |
| 1619214087 | Robert David Bennett | Licensed Practical Nurse | 6162 Hollyberry Ln, Hamilton, OH 45011-5194 | 2013-01-05 |
| 1174892814 | Robert Bennett | Psychologist | 117 Tennessee Ave Ne, Washington, DC 20002-6425 | 2011-12-27 |
| 1740489426 | Robert Telford Bennett | Behavioral Analyst | 116 E Pierce St, Mangum, OK 73554-4295 | 2007-07-13 |
| 1760600761 | Robert Bennett | Counselor | 5909 South Santa Fe Drive, Littleton, CO 80120-2910 | 2007-04-23 |
| 1255498218 | Robert L Bennett IIi | Speech-Language Pathologist | 613 Winifred Rd, Leesburg, GA 31763-5342 | 2007-01-02 |
| 1508942491 | Robert C. Bennett | Dentist | 506 Marshall St, Mcmechen, WV 26040-1041 | 2006-10-31 |
| 1518906718 | Robert J Bennett | Counselor | 2020 Greystem Circle, Apt 104, Gurnee, IL 60031-2197 | 2006-06-05 |
| 1518906825 | Robert Daniel Bennett | Surgery | 300 N Highland Ave Ste 315, Sherman, TX 75092-7389 | 2006-06-05 |
| 1942271374 | Robert Campbell Bennett | Pathology | 1044 Belmont Ave., Pathology Consultants-credentialing, Youngstown, OH 44501-1790 | 2006-02-01 |
| Street Address |
21885 HIGHWAY 62 |
| City | SHADY COVE |
| State | OR |
| Zip Code | 97539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421811 | John Paul Hurd | Chiropractor | 21885 Or62, Shady Cove, OR 97539 | 2020-06-16 |
| 1811488851 | Shady Cove Chiropractic and Massage, LLC | Chiropractor | 21885 Or-62, Shady Cove, OR 97539 | 2018-05-25 |
| 1427444264 | Philip Broesamle | Counselor | 60 Mallory Ln., Shady Cove, OR 97539 | 2015-04-08 |
| 1285060772 | Neil Dale Arnspiger | Behavioral Analyst | 159 Train Lane, Shady Cove, OR 97539 | 2013-09-17 |
| 1285952101 | Dan Dale Kelly | Driver | 120 Birch St, Shady Cove, OR 97539 | 2010-05-17 |
| 1104089309 | Kelly Clayton Fnp Inc | Clinic/Center | 387 Pinetop Terrace, Shady Cove, OR 97539 | 2008-07-08 |
| 1881770808 | Sisters of Providence In Oregon | Clinic/Center | 25 Erickson Avenue, Shady Cove, OR 97539 | 2006-10-31 |
| 1053424622 | Phillip Bruce Lassen | Dentist | 21978 Hwy 62, Shady Cove, OR 97539-1236 | 2006-08-16 |
| 1922249382 | David Lee Thompson | Physical Therapy Assistant | 20 Laurel Dr, Shady Cove, OR 97539-3602 | 2009-03-16 |
| 1750861431 | Casey Dean Clingan | Dentist | 21300 Highway 62, Shady Cove, OR 97539-7707 | 2018-08-21 |
| Find all providers in zip 97539 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421811 | John Paul Hurd | Chiropractor | 21885 Or62, Shady Cove, OR 97539 | 2020-06-16 |
| 1811488851 | Shady Cove Chiropractic and Massage, LLC | Chiropractor | 21885 Or-62, Shady Cove, OR 97539 | 2018-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093999 | Allison Robinson | Chiropractor | 1225 Multnomah Rd, Hood River, OR 97031-9713 | 2020-11-04 |
| 1073113635 | Adam Hernandez | Chiropractor | 10208 Sw Conestoga Dr Apt 41, Beaverton, OR 97008-8416 | 2020-10-31 |
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1053918193 | Evan Chin | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-01 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1013522358 | Terri Ann Truesdale | Chiropractor | 4455 Sw Salmon Pl, Redmond, OR 97756-1983 | 2020-09-14 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1396360210 | Urban Health Chiropractic LLC | Chiropractor | 1610 N Adair St Ste D, Cornelius, OR 97113-8832 | 2020-06-16 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SHADY COVE |
| Zip Code | 97539 |
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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.