DR. TRISTIN HC WALLACE (NPI# 1396921722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396921722 |
Entity Type | Individual |
Full Name | DR. TRISTIN HC WALLACE |
Credential | ND |
Practice Address |
14201 Ne 20th Ave Suite 1102 Vancouver WA 98686-6410 |
Practice Telephone | 3608827373 |
Practice Fax Number | 3608827673 |
Mailing Telephone | 3608827373 |
Mailing Fax Number | 3608827673 |
Enumeration Date | 2008-01-16 |
Last Update Date | 2012-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175F00000X | Naturopath | NT 60083023 | WA | Other Service Providers |
Street Address |
14201 NE 20TH AVE SUITE 1102 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-6410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447233739 | Spencer William Southwick | Physical Therapist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2005-11-21 |
1427592872 | Jocelyn Mileck | Physical Therapy Assistant | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2016-12-05 |
1093268161 | Kurt Truong, Dds, Msd, Pllc | Clinic/Center | 14201 Ne 20th Ave, Suite 3102, Vancouver, WA 98686-6410 | 2016-07-25 |
1396126850 | Dental Service, LLC | Clinic/Center | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2015-06-10 |
1184040255 | Pivot Health Acupuncture | Clinic/Center | 14201 Ne 20th Ave, Ste #1102, Vancouver, WA 98686-6410 | 2014-03-12 |
1285998336 | Kurt Duc Truong | Dentist | 14201 Ne 20th Ave, #c-3102, Vancouver, WA 98686-6410 | 2012-07-03 |
1306165832 | Rejuvenance Therapy LLC | Physical Therapist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2010-05-24 |
1417287293 | Tosha Marlene Benson | Specialist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2009-12-30 |
1629228960 | Access Dental Plan LLC | Dentist | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2008-09-23 |
1619141173 | Susan Mccarthy, Lac LLC | Acupuncturist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2008-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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Taxonomy Code | 175F00000X |
Grouping | Other Service Providers |
Classification | Naturopath |
Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759230 | Valeria M Panibratets | Naturopath | 10411 Ne 21st Ct, Vancouver, WA 98686-5990 | 2020-10-30 |
1376140418 | Lana Michelle Ferris | Naturopath | 1404 Ne 134th St Ste 180c, Vancouver, WA 98685-2799 | 2020-10-01 |
1740801802 | Patricia Lynn Tang | Naturopath | 1609 Se 170th Ave, Vancouver, WA 98683-3451 | 2020-04-29 |
1154964476 | Rebecca Jo Thurman | Naturopath | 3606 Main St Ste 100, Vancouver, WA 98663-2235 | 2019-10-18 |
1639712979 | Rebecca Eleanor Zeff | Naturopath | 3606 Main St Ste 201, Vancouver, WA 98663-2235 | 2019-10-18 |
1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
1144616244 | Sabah Targhi | Naturopath | 6204 Ne Highway 99 Ste E, Vancouver, WA 98665-8746 | 2015-04-15 |
1649695354 | Redwood Clinic | Naturopath | 7017 Ne Highway 99 Ste 210, Vancouver, WA 98665-0553 | 2014-03-04 |
1710316369 | Angela Mulligan Knapp | Naturopath | 5212 Ne 109th Court, Suite I, Vancouver, WA 98662-3258 | 2013-11-04 |
1023442712 | Ariel Mastrich | Naturopath | 5512 Ne 109th Ct Ste A1, Vancouver, WA 98662-6175 | 2013-08-29 |
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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.