MARISSA GARDNER (NPI# 1306332010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306332010 |
| Entity Type | Individual |
| Full Name | MARISSA GARDNER |
| Practice Address |
1245 Fulton Ave Coos Bay OR 97420-2895 |
| Practice Telephone | 5418886433 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1245 FULTON AVE |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780755454 | Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians | Clinic/Center | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2006-11-13 |
| 1215451661 | Naomi Rachelle Petrie | Technician, Other | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2017-07-27 |
| 1962956904 | Shannon Michelle Schritter | Dental Hygienist | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2016-08-08 |
| 1396113007 | Sarah Ann Rodgers | Dentist | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2015-09-11 |
| 1518342179 | Daryl K Reavis | Dentist | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2015-07-24 |
| 1225229131 | Patricia Anne Peyton | Dental Hygienist | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2007-08-06 |
| 1053486696 | Robert Bruce Macy | Dentist | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451661 | Naomi Rachelle Petrie | Technician, Other | 1245 Fulton Ave, Coos Bay, OR 97420-2895 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604261 | Christina Marie Demulling | Technician, Other | 8855 Sw Holly Ln Ste 104, Wilsonville, OR 97070-8792 | 2019-11-18 |
| 1225682651 | Michelle L Underhill | Technician, Other | 15295 Sw Obsidian St, Beaverton, OR 97007-8949 | 2019-07-24 |
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1730655382 | Kim Phyllis Robbins | Technician, Other | 801 Wood Ln, Clatskanie, OR 97016-2158 | 2018-10-22 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1174025779 | Ghayda Aboasha | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1215439807 | Christopher Allen Lane | Technician, Other | 4949 Sw Macadam Ave Ste 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1932617149 | Haley Ann Moore | Technician, Other | 4949 Sw Macadam Ave, Portland, OR 97239-3912 | 2018-01-22 |
| 1538606843 | Madison Wells | Technician, Other | 8072 Pudding Creek Dr Se, Salem, OR 97317-8909 | 2017-01-24 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARISSA GARDNER.
| 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.