DANIELLE DORMAN (NPI# 1528478450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528478450 |
| Entity Type | Individual |
| Full Name | DANIELLE DORMAN |
| Credential | L.M.T. |
| Practice Address |
3944 N Mississippi Ave Portland OR 97227-1163 |
| Mailing Address |
4333 N Willamette Blvd Portland OR 97203-4763 |
| Practice Telephone | 5035178222 |
| Mailing Telephone | 5039905633 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18930 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON BOARD OF MASSAGE THERAPISTS | 18930 | 01 |
| Street Address |
3944 N MISSISSIPPI AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588616940 | Bridgit Ann Beasley | Acupuncturist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2006-05-16 |
| 1982215562 | Robin Douglas Lyons | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2020-08-16 |
| 1194291567 | Shawn Mickail Umphress | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2018-10-23 |
| 1790265213 | Anna Rosa Mele | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2018-08-14 |
| 1093237745 | Tova Marin Wellness, LLC | Acupuncturist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2017-07-14 |
| 1952859035 | Carly Rice | Community Health Worker | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2016-09-16 |
| 1609225093 | Laura Eastmond | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2016-06-07 |
| 1619348661 | Breanna Lohnes | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2015-10-16 |
| 1649668138 | Alicia Banister | Massage Therapist | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2015-01-06 |
| 1285055467 | Jessica White | Contractor | 3944 N Mississippi Ave, Portland, OR 97227-1163 | 2013-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| 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 |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
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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.