HEIDI BROGDON (NPI# 1346782125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346782125 |
| Entity Type | Individual |
| Full Name | HEIDI BROGDON |
| Credential | L.M.T. |
| Practice Address |
12860 Nw Jarvis Pl Apt 4 Banks OR 97106-6059 |
| Practice Telephone | 9712268166 |
| Mailing Telephone | 9712268166 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MT-20575 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 21891 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12860 NW JARVIS PL APT 4 |
| City | BANKS |
| State | OR |
| Zip Code | 97106-6059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487060562 | Kasey Webber | Specialist | 909 Sw 18th Ave, Portland, OR 97106 | 2014-07-09 |
| 1053558239 | Crystal Stachera | Marriage & Family Therapist | 42355 Nw Oak Way # 672, Banks, OR 97106-6021 | 2009-01-09 |
| 1538707187 | Alison Marie Larson | Registered Nurse | 46780 Nw Graham Rd, Banks, OR 97106-7029 | 2019-12-13 |
| 1003365990 | Aurora Wickstrom | Speech-Language Pathologist | 41320 Nw Lodge Rd, Banks, OR 97106-7136 | 2016-10-03 |
| 1306396403 | Alexa Heilbrun | Respiratory Therapist, Certified | 18475 Nw North Star Dr, Banks, OR 97106-7235 | 2016-10-12 |
| 1245494947 | John Patrick Archer | Chiropractor | 40020 Nw Banks Rd, Banks, OR 97106-8500 | 2008-07-11 |
| 1255898847 | Ashtyn Paige Cottier | Assistant Behavior Analyst | 42055 Nw Covey Ln, Banks, OR 97106-8515 | 2019-03-01 |
| 1598905150 | Lynnette Irene Hofler | Registered Nurse | 50700 Nw Cedar Canyon Rd, Banks, OR 97106-8816 | 2009-02-23 |
| 1376819615 | Emily Elizabeth Tarleton | Specialist | 45319 Nw Hartwick Rd, Banks, OR 97106-8854 | 2012-03-30 |
| 1154624229 | A L Thompson Dmd PC & Assoc. | Dentist | 664 S Main St, Banks, OR 97106-9042 | 2010-12-13 |
| Find all providers in zip 97106 | ||||
| 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 |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEIDI BROGDON.
| 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.