SOLACE CARE MEDICAL MASSAGE CLINIC, LLC (NPI# 1497063580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497063580 |
| Entity Type | Organization |
| Organization Name | SOLACE CARE MEDICAL MASSAGE CLINIC, LLC |
| Practice Address |
456 Sw Monroe Ave 104 Corvallis OR 97333-4781 |
| Practice Telephone | 5416025678 |
| Mailing Telephone | 5416025678 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | VALERIE BROWN (OWNER) |
| Authorized Official Telephone | 5416025678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | Other Service Providers |
| Street Address |
456 SW MONROE AVE 104 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184259137 | Kevin James Malloy | Peer Specialist | 456 Sw Monroe Ave, Corvallis, OR 97333-4781 | 2020-03-10 |
| 1497394035 | Holly Sue King | Peer Specialist | 456 Sw Monroe Ave, Corvallis, OR 97333-4781 | 2019-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093181869 | Joseph Martines | Mechanotherapist | 2855 Nw 29th St, Corvallis, OR 97330 | 2015-08-17 |
| 1013258847 | Carolyn Fonyo Boggess | Mechanotherapist | 111 Nw 2nd St, Corvallis, OR 97330-4700 | 2013-03-04 |
| 1063048890 | Mino Fuller | Mechanotherapist | 1760 Sw 3rd St, Corvallis, OR 97333-1725 | 2020-03-12 |
| 1306208608 | Youngtea Soon | Mechanotherapist | 996 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1485 | 2016-03-25 |
| 1609161835 | Erin E Hesby | Mechanotherapist | 712 Nw 4th St, Corvallis, OR 97330-6415 | 2011-06-15 |
| 1780902452 | Tracey Leigh Walker | Mechanotherapist | 230 Sw 3rd St, Suite 211, Corvallis, OR 97333-4692 | 2010-05-05 |
| 1295977890 | Troy Maddux | Mechanotherapist | 534 Nw 4th St, Corvallis, OR 97330-6411 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346734340 | Lola Reed | Mechanotherapist | 8283 Sw Cirrus Dr, Beaverton, OR 97008-5997 | 2018-06-21 |
| 1548794779 | Sara Greenhouse | Mechanotherapist | 1417 N Shaver St, Portland, OR 97227-1060 | 2017-04-14 |
| 1740714963 | Mariza Noyama-zee | Mechanotherapist | 6516 Se 92nd Ave, Portland, OR 97266-5236 | 2017-04-13 |
| 1104367143 | Janae Schiller | Mechanotherapist | 825 Se 32nd Ave, Portland, OR 97214-4201 | 2017-03-09 |
| 1336686237 | Mariana Orantes Blackstone | Mechanotherapist | 16011 Ne Halsey St, Portland, OR 97230-5629 | 2017-01-30 |
| 1356886808 | Mary Wheeler, Lmt | Mechanotherapist | 67 N Polk St, Eugene, OR 97402-4108 | 2016-12-19 |
| 1619321700 | Talor Lee-stiles | Mechanotherapist | 134 Ne 75th Ave, Portland, OR 97213-6315 | 2016-04-14 |
| 1891158416 | Jesse Hodgdon | Mechanotherapist | 1413 Holton Rd, Talent, OR 97540-7762 | 2016-03-31 |
| 1184085144 | Alissa Lamb | Mechanotherapist | 1476 Ne Sumner St, Portland, OR 97211-4434 | 2016-03-17 |
| 1629436498 | Margarita Maria Mccabe | Mechanotherapist | 5310 Se Schiller St, Apt. A, Portland, OR 97206-4873 | 2016-02-08 |
| Find all providers with the same taxonomy | ||||
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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.