GREGORY GRIFFIN (NPI# 1386988236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386988236 |
| Entity Type | Individual |
| Full Name | GREGORY GRIFFIN |
| Credential | LMT |
| Practice Address |
1748 Nw Fairview Dr Gresham OR 97030-3842 |
| Mailing Address |
5030 Se 85th Ave Portland OR 97266-3120 |
| Practice Telephone | 5034923910 |
| Practice Fax Number | 5036746706 |
| Mailing Telephone | 5055755459 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16352 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578792917 | Gregory Michael Griffin | Licensed Psychiatric Technician | 446 Linden Avenue, Auburn, CA 95603 | 2009-07-07 |
| 1215035381 | Gregory Anthony Griffin Jr. | Chiropractor | 8225 Bruton Rd, Dallas, TX 75217-1903 | 2006-09-20 |
| 1497725105 | Gregory Mitchell Griffin | Dentist | 110 Pitts Lane, Lincolnton, GA 30817 | 2006-01-25 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1093207060 | Gregory Griffin | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2018-06-05 |
| 1881892339 | Gregory Griffin | Social Worker | 80 Goodrich St, Buffalo, NY 14203-1005 | 2007-07-06 |
| 1912099896 | Gregory C. Griffin | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1609861327 | Gregory Griffin | Social Worker | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-09-19 |
| Street Address |
1748 NW FAIRVIEW DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098056 | Marie H Mason | Chiropractor | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2006-09-26 |
| 1942808720 | Rachel Owens | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2020-10-13 |
| 1770142986 | David Hotchkiss | Specialist/Technologist, Other | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-06-11 |
| 1720642614 | Cole Hoard | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-04-25 |
| 1114483153 | Kyle Paladeni | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2019-02-14 |
| 1982146858 | Cheryl Higgins | Massage Therapist | 1748 Nw Fairview Dr, Gresham, OR 97030 | 2016-11-09 |
| 1073065017 | Fannie Phillips | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-10-25 |
| 1295182848 | Gresham Therapeutic Massage Center | Public Health or Welfare | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-05-24 |
| 1699131334 | Bruce Carter | Specialist | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2016-01-11 |
| 1205206497 | Gresham Therapeutic Massage Center | Home Health | 1748 Nw Fairview Dr, Gresham, OR 97030-3842 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1548894108 | Michael A Kostin | Massage Therapist | 3333 Sw Miller Pl, Gresham, OR 97080-5500 | 2020-02-23 |
| 1285278457 | John Robert Inouye | Massage Therapist | 16 Ne Hogan Dr Ste 108, Gresham, OR 97030-7967 | 2019-10-31 |
| 1093272627 | James Monje-lara | Massage Therapist | 1112 Nw 15th St Apt B309, Gresham, OR 97030-4960 | 2019-03-01 |
| 1346711918 | Julie Lynn Haugen | Massage Therapist | 33 Ne Kelly Ave Ste 101, Gresham, OR 97030-7518 | 2018-12-07 |
| 1306334826 | Rebecca Schrantz | Massage Therapist | 4235 Se 182nd Ave, Gresham, OR 97030-5082 | 2018-04-30 |
| 1679082861 | Erica S Blair | Massage Therapist | 1550 Nw Eastman Pkwy Ste 265, Gresham, OR 97030-3860 | 2017-09-20 |
| 1427578194 | Shawna Pool | Massage Therapist | 16 Ne Hogan Dr # 108, Gresham, OR 97030-7967 | 2017-06-23 |
| 1356888093 | Massage for Healing and Wellness | Massage Therapist | 287 Ne 3rd St Apt 209, Gresham, OR 97030-7722 | 2017-01-19 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1942757729 | Alta Ulrich | Massage Therapist | 7932 Se 282nd Ave, Gresham, OR 97080-8217 | 2016-09-08 |
| Find all providers in GRESHAM | ||||
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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.