MR. SHANE C. WIBEL (NPI# 1538250121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538250121 |
| Entity Type | Individual |
| Full Name | MR. SHANE C. WIBEL |
| Credential | ATC |
| Practice Address |
900 State St Willamette University Athletics Salem OR 97301-3922 |
| Practice Telephone | 5033706672 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 055276 | OR | Other Service Providers |
| Street Address |
900 STATE ST WILLAMETTE UNIVERSITY ATHLETICS |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659359057 | Michael S Hmura | Physical Therapist | 900 State St, Salem, OR 97301-3922 | 2006-01-05 |
| 1467818641 | Kyle R Stephenson | Psychologist | 900 State St, Psychology Department, Salem, OR 97301-3922 | 2016-01-04 |
| 1548443476 | Willamette University | Clinic/Center | 900 State St, Salem, OR 97301-3922 | 2007-12-13 |
| 1700976180 | Barbara Blackburn Hill | Nurse Practitioner | 900 State St, Salem, OR 97301-3922 | 2006-10-13 |
| 1942263744 | Peter Anthony Harmer | Specialist/Technologist | 900 State St, Exercise Science - Sports Medicine, Salem, OR 97301-3922 | 2006-04-11 |
| 1316927916 | Anne Marie Barry-lever | Nurse Practitioner | 900 State St, Willamette University Health Center, Salem, OR 97301-3922 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265970495 | Deanna Lauren Carter | Specialist | 9 Muse Ter, Salem, NH 03079-2921 | 2017-02-08 |
| 1043763980 | Michael Tre Cline Jr. | Specialist | 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 | 2016-07-27 |
| 1508213604 | Amy Masters | Specialist | 23190 Zieber Ln Nw, Salem, OR 97304-9631 | 2016-05-18 |
| 1417326398 | Lisa K Breslin | Specialist | 27 Congress St Ste 203, Salem, MA 01970-5576 | 2015-09-21 |
| 1588048656 | Carl Bettencourt | Specialist | 67 Wharf St, Salem, MA 01970-5116 | 2015-07-17 |
| 1689066250 | Maxine Trujillo | Specialist | 191 Mcnary Ave Nw, Salem, OR 97304-4037 | 2015-02-19 |
| 1619379633 | Wanda Getz | Specialist | 4275 Commercial St Se, Salem, OR 97302-4086 | 2014-09-22 |
| 1255753174 | Janette Toll | Specialist | 1898 Court St Ne, Salem, OR 97301-4328 | 2014-01-12 |
| 1912333741 | Melanie A Ground | Specialist | 1967 Brightwood Ct S, Salem, OR 97302-2405 | 2013-09-25 |
| 1245662410 | Kenneth M. Wilson, M.d., P.C. | Specialist | 700 Bellevue St Se Ste 260, Salem, OR 97301-3888 | 2013-07-30 |
| Find all providers in SALEM | ||||
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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.