MIRANDA JEANETTE COLEMAN (NPI# 1457813123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457813123 |
| Entity Type | Individual |
| Full Name | MIRANDA JEANETTE COLEMAN |
| Practice Address |
3400 Se 196th Ave Ste 104 Camas WA 98607-8862 |
| Mailing Address |
Po Box 1271 Washougal WA 98671-0927 |
| Practice Telephone | 3606094022 |
| Practice Fax Number | 3602104200 |
| Mailing Telephone | 3606094022 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60687443 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3400 SE 196TH AVE STE 104 |
| City | CAMAS |
| State | WA |
| Zip Code | 98607-8862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832651 | An Nguyen | Family Medicine | 4500 Se Columbia Palisades Drive, Camas, WA 98607 | 2017-03-23 |
| 1861935454 | Amanda Anstead | Case Manager/Care Coordinator | 329 Lechner Street, Camas, WA 98607 | 2016-11-30 |
| 1841697604 | Samantha Christine Cunningham | Counselor | 3400 Se 196th Ave., Ste 102, Camas, WA 98607 | 2014-11-21 |
| 1588075188 | Luiza Vasiliu Pollock | Counselor | 3400 Se 196th Ave, Suite 102, Camas, WA 98607 | 2014-05-16 |
| 1801147277 | Nichol Marie Danielson | Massage Therapist | 1905 Se 192nd Ave., Suite 111, Camas, WA 98607 | 2012-09-26 |
| 1194074781 | Natasha Nicole Portman | Interpreter | 3003 Ne 3rd Ave, #210, Camas, WA 98607 | 2012-08-29 |
| 1306119334 | Jeannie Kay | Hearing Instrument Specialist | 19610 Se 1st Street, Hearing Center, Camas, WA 98607 | 2012-02-22 |
| 1447581962 | Summer Nichole Dowell | Massage Therapist | 211 Ne 4th Avenue, Camas, WA 98607 | 2010-01-22 |
| 1508098914 | Kelsey Wallace | Pharmacist | 522 Nw 24th Cir, Camas, WA 98607 | 2009-08-18 |
| 1891954111 | Sarah Sue Louise Winslow | Family Medicine | 315 Ne 192nd Ave, Suite 310, Camas, WA 98607 | 2008-06-02 |
| Find all providers in zip 98607 | ||||
| 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 |
|---|---|---|---|---|
| 1932715620 | Olivia Ann Haun | Massage Therapist | 1905 Se 192nd Ave Ste 111, Camas, WA 98607-7415 | 2020-09-18 |
| 1275908394 | Peggy Lou Anne Anderson-deardorff | Massage Therapist | 2942 Nw Watkins Ct, Camas, WA 98607-7341 | 2015-12-01 |
| 1275900490 | Cj Jones | Massage Therapist | 1908 Se 7th Ave, Camas, WA 98607-2215 | 2015-08-24 |
| 1689079253 | Tammy Lyn Patterson | Massage Therapist | 2005 Se 192nd Ave, Ste 104, Camas, WA 98607-7475 | 2014-10-24 |
| 1184065963 | Rachel Waldow | Massage Therapist | 449 Nw 17th Ave, Camas, WA 98607-1253 | 2013-07-09 |
| 1265875389 | Mary Annable Mason | Massage Therapist | 222 Ne 4th Ave, Camas, WA 98607-2124 | 2013-04-08 |
| 1164760906 | Elizabeth N Loop | Massage Therapist | 2814 E 1st Ave, Camas, WA 98607-2301 | 2013-01-29 |
| 1801147277 | Nichol Marie Danielson | Massage Therapist | 1905 Se 192nd Ave., Suite 111, Camas, WA 98607 | 2012-09-26 |
| 1336433424 | Brittany Loren Smoak | Massage Therapist | 19206 Se 1st St, Ste. 118, Camas, WA 98607-7478 | 2011-06-06 |
| 1922391929 | Diana Frances Waud-berry | Massage Therapist | 1901 Se 283rd Ave, Camas, WA 98607-9509 | 2011-05-24 |
| Find all providers in CAMAS | ||||
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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.