MARIYA SULAKOV (NPI# 1447893748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447893748 |
| Entity Type | Individual |
| Full Name | MARIYA SULAKOV |
| Credential | ND |
| Practice Address |
500 Nw 20th St St 101 Gresham OR 97030-2441 |
| Mailing Address |
500 Nw 20th St, St 101 Gresham OR 97030-7314 |
| Practice Telephone | 5034895917 |
| Mailing Telephone | 5034895917 |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 4264 | OR | Other Service Providers |
| Street Address |
500 NW 20TH ST ST 101 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114939444 | Eye Care Services, Inc. | Ophthalmology | 500 Nw 20th St, Gresham, OR 97030-2441 | 2006-08-13 |
| 1831721489 | Docere Naturopathic Medicine LLC | Clinic/Center | 500 Nw 20th St, Gresham, OR 97030-2441 | 2020-02-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1831673474 | Marlena Kennedy | Naturopath | 500 Nw 20th St Ste 101, Gresham, OR 97030-2442 | 2018-09-19 |
| 1932529765 | Anni Zieler | Naturopath | 4601 Sw 11th St, Suite 3, Gresham, OR 97080-7309 | 2014-04-19 |
| 1245525328 | Lam L Le | Naturopath | 25500 Se Stark St Ste 102, Gresham, OR 97030-8327 | 2011-06-16 |
| 1740515097 | Skye Anthony Nehs | Naturopath | 24988 Se Stark St Ste 300, Gresham, OR 97030-8325 | 2009-10-05 |
| 1780724393 | Jennifer Carole Reid | Naturopath | 27530 Se Division Dr, Gresham, OR 97030-8214 | 2007-02-06 |
| 1144318676 | Ana M Squellati | Naturopath | 130 Nw Miller Ave, Gresham, OR 97030-7226 | 2006-10-10 |
| 1578504197 | Katherine Zieman | Naturopath | 22400 Se Stark St Ste 105, Gresham, OR 97030-2656 | 2006-06-08 |
| 1275177628 | Lauren Sutton | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-10-29 |
| 1700432879 | Marlena Kurtz LLC | Naturopath | 500 Nw 20th St Ste 101, Gresham, OR 97030-2442 | 2019-08-14 |
| 1609340710 | Emily Anderson Steele | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-01-11 |
| 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.