CONCETTA M ANTONELLI LMT (NPI# 1356687115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356687115 |
| Entity Type | Organization |
| Organization Name | CONCETTA M ANTONELLI LMT |
| Practice Address |
311 B Ave Ste L Lake Oswego OR 97034-3011 |
| Mailing Address |
11375 Se 33rd Ave Milwaukie OR 97222-6754 |
| Practice Telephone | 5033497038 |
| Mailing Telephone | 5033497038 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | MS. CONCETTA MARIE ANTONELLI (MASSAGE THERAPIST) |
| Authorized Official Telephone | 5033497038 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7449 | OR | Other Service Providers |
| Street Address |
311 B AVE STE L |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275602187 | Rita Maynard, Psy.d.,llc | Psychologist | 311 B Ave, Suite R, Lake Oswego, OR 97034-3011 | 2006-11-06 |
| 1740738814 | Rita Ellen Maynard | Psychologist | 311 B Ave, Suite R, Lake Oswego, OR 97034-3055 | 2016-09-16 |
| 1073952115 | Cynthia Ann Gellinger | Massage Therapist | 311 B Ave, Suite L, Lake Oswego, OR 97034-3055 | 2013-06-21 |
| 1124365507 | Kate Chastain Gerity | Massage Therapist | 311 B Ave, Suite L, Lake Oswego, OR 97034-3011 | 2013-01-06 |
| 1710123567 | Jeffrey Victor Stuart Levin | Acupuncturist | 311 B Ave, Lake Oswego, OR 97034-3011 | 2008-12-29 |
| 1740468818 | Alternative Management Strategies | Acupuncturist | 311 B Ave, Ste L, Lake Oswego, OR 97034-3011 | 2008-01-31 |
| 1578784278 | Gregory Lee Mcdonald | Acupuncturist | 311 B Ave, Suite L, Lake Oswego, OR 97034-3011 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700347804 | Audrey Jones | Specialist | 16055 Boones Ferry Rd, Lake Oswego, OR 97035-4364 | 2019-03-29 |
| 1144755281 | Eltie Watson | Specialist | 15171 Bangy Rd, Suite 121, Lake Oswego, OR 97035-3270 | 2017-04-26 |
| 1265820690 | Heather Green | Specialist | 4201 Chapman Way, Lake Oswego, OR 97035-5562 | 2015-01-08 |
| 1952649279 | Robert Michael Julien | Specialist | 23 Becket St, Lake Oswego, OR 97035-1033 | 2013-01-21 |
| 1740535194 | Laurie Ellen Volm | Specialist | 15962 Boones Ferry Rd Ste 209, Lake Oswego, OR 97035-4360 | 2012-07-20 |
| 1831491109 | Richard Lee Worthington | Specialist | 5160 Firwood Rd, Lake Oswego, OR 97035-4226 | 2010-11-18 |
| 1154621639 | John Canisius English | Specialist | 500 Bergis Rd, Lake Oswego, OR 97034-6252 | 2010-10-29 |
| 1285886572 | Jeana H Kuziemski | Specialist | 267 Cervantes, Lake Oswego, OR 97035-1207 | 2008-10-17 |
| 1093970410 | Nancy Lynn De Turk | Specialist | 295 3rd St, 9, Lake Oswego, OR 97034-3053 | 2008-07-24 |
| 1699945071 | Lois Eldora Stevens | Specialist | 12375 Mt Jefferson Terrace, 4c, Lake Oswego, OR 97035 | 2008-03-03 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
Please comment or provide details below to improve the information on CONCETTA M ANTONELLI LMT.
| 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.