MS. MARTIE M COBLENTZ (NPI# 1477720365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477720365 |
| Entity Type | Individual |
| Full Name | MS. MARTIE M COBLENTZ |
| Other Name | MS. MARTHA M COBLENTZ |
| Credential | LMT |
| Practice Address |
27725 Jahn Rd Grand Ronde OR 97347-9735 |
| Practice Telephone | 5035109110 |
| Practice Fax Number | 5038795931 |
| Mailing Telephone | 5035109110 |
| Mailing Fax Number | 5038795931 |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | MAQ00021059 | WA | Other Service Providers |
| Y | 171W00000X | Contractor | OR 12030 | OR | Other Service Providers |
| Street Address |
27725 JAHN RD |
| City | GRAND RONDE |
| State | OR |
| Zip Code | 97347-9735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325859 | Linda 'lynn' Michelle House | Licensed Practical Nurse | 7650 Birch Street, Grand Ronde, OR 97347-0024 | 2010-08-31 |
| 1689700213 | Angela R Vargas | Counselor | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2007-02-26 |
| 1932180734 | Lance Gregory Loberg | Family Medicine | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2005-11-08 |
| 1326513367 | Confederated Tribes of Grand Ronde Community of Oregon | Radiology | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2018-10-05 |
| 1922554542 | Terri Knowles | Optometrist | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2016-09-01 |
| 1003286840 | Albert Martineau | Counselor | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2015-10-06 |
| 1417390634 | Andrew R Canning | Student in an Organized Health Care Education/Training Program | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2013-04-08 |
| 1104164359 | Confederated Tribes of Grand Ronde Community of Oregon Dba Gr Health & | Clinic/Center | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2013-01-23 |
| 1508111931 | Capitol Physical Therapy, Inc | Physical Therapist | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2012-07-23 |
| 1093073439 | Nicole Marie Estrada | Counselor | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2012-04-23 |
| Find all providers in zip 97347 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108615 | Chala Chiri | Contractor | 2498 Aldine Ct Ne, Keizer, OR 97303-1905 | 2020-06-16 |
| 1215568399 | Rebecca Callahan | Contractor | 16979 Sw Steele Way, Beaverton, OR 97006-8935 | 2020-01-28 |
| 1225530512 | Francisco Garcia | Contractor | 18195 Webster Rd Apt 4, Gladstone, OR 97027-1455 | 2018-03-02 |
| 1316469307 | Habtemariam Ketema | Contractor | 16215 Se Webster Rd, Milwaukie, OR 97267-5254 | 2017-07-11 |
| 1720529100 | Morgan Leder | Contractor | 12356 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 | 2017-03-17 |
| 1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
| 1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
| 1033661251 | Juli Bossert | Contractor | 2305 Ashland St Ste C443, Ashland, OR 97520-3777 | 2016-11-04 |
| 1912459488 | Jin Hwa Chung | Contractor | 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 | 2016-10-31 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RONDE |
| Zip Code | 97347 |
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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.