MS. ALEXANDRA ROSE DEVIVO (NPI# 1295251080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295251080 |
| Entity Type | Individual |
| Full Name | MS. ALEXANDRA ROSE DEVIVO |
| Practice Address |
12700 Sw North Dakota St Ste 180 Tigard OR 97223-0802 |
| Mailing Address |
9362 Sw Sutton Pl Tigard OR 97223-1212 |
| Practice Telephone | 5037168281 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 22729 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12700 SW NORTH DAKOTA ST STE 180 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-0802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139618 | Margarita Canizales | Massage Therapist | 12700 Sw North Dakota St Ste 180, Tigard, OR 97223-0802 | 2019-11-26 |
| 1336794718 | Sydnee Lee Topps | Massage Therapist | 12700 Sw North Dakota St Ste 180, Tigard, OR 97223-0802 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| 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 |
|---|---|---|---|---|
| 1891301024 | Jenna Lari Johnston | Massage Therapist | 12662 Sw 127th Ave, Tigard, OR 97223-1859 | 2020-09-22 |
| 1073160172 | Mele Kali Smith | Massage Therapist | 12305 Sw Bell Ct, Tigard, OR 97223-1820 | 2019-08-22 |
| 1629536123 | Molly Ann Carlson | Massage Therapist | 7185 Sw Sandburg St Ste 100, Tigard, OR 97223-8090 | 2019-03-04 |
| 1477053429 | Marissa Emery | Massage Therapist | 7455 Sw Bridgeport Rd Ste E240, Tigard, OR 97224-7252 | 2018-02-16 |
| 1891211389 | Ashley A Doke | Massage Therapist | 7150 Sw Hampton St Ste 115, Tigard, OR 97223-8365 | 2017-08-17 |
| 1023560729 | Samantha Suter | Massage Therapist | 11785 Sw Koski Dr, Tigard, OR 97223-5310 | 2016-10-28 |
| 1033664529 | Joanna Hutchins | Massage Therapist | 12353 Sw Walnut St, Tigard, OR 97223-3039 | 2016-08-24 |
| 1184070443 | Grounded Flow | Massage Therapist | 12085 Sw Hall Blvd, Tigard, OR 97223-6253 | 2016-05-05 |
| 1649632431 | Harriet Frances Carpenter | Massage Therapist | 9430 Sw Coral St. Suite 203, Tigard, OR 97223 | 2016-03-22 |
| 1689087041 | Eliza Werth-davis | Massage Therapist | 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 | 2014-06-03 |
| Find all providers in TIGARD | ||||
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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.