WILL HALLETT BODYWORK, INC (NPI# 1538567847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538567847 |
| Entity Type | Organization |
| Organization Name | WILL HALLETT BODYWORK, INC |
| Other Organization Name | PALAQUIN MASSAGE |
| Practice Address |
511 Sw 10th Ave Ste 1108 Portland OR 97205-2732 |
| Practice Telephone | 5032246800 |
| Practice Fax Number | 5032246800 |
| Mailing Telephone | 5032246800 |
| Mailing Fax Number | 5032246800 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | MR. WILLIAM T HALLETT (OWNER/LMT) |
| Authorized Official Telephone | 5032246800 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 18758 | OR | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Palaquin Massage | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILL HALLETT BODYWORK, INC. | 511 Sw 10th Ave Ste 708, Portland, OR 97205 |
| Street Address |
511 SW 10TH AVE STE 1108 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146307 | Michael Charles Royse | Dentist | 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 | 2005-07-05 |
| 1861049835 | Jennifer Larson | Counselor | 511 Sw 10th Ave, Portland, OR 97205-2732 | 2019-08-23 |
| 1720528235 | Jessica Lyn Collins | Massage Therapist | 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 | 2017-03-02 |
| 1205378858 | Lilyan Charlotte Russel Smith-moore | Counselor | 511 Sw 10th Ave, #601, Portland, OR 97205-2732 | 2016-11-14 |
| 1184073496 | Julia Richfield | Specialist | 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 | 2016-06-07 |
| 1821463050 | Fox Kids Dentistry & Orthodontics | Dentist | 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 | 2015-12-14 |
| 1477927580 | Jacquelin Perry | Massage Therapist | 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 | 2015-12-01 |
| 1912382078 | Dana Fox | Dentist | 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 | 2015-07-29 |
| 1336524206 | Drew Barrios | Specialist | 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 | 2015-07-21 |
| 1891179875 | Jessica Mintie Kloenne | Dentist | 511 Sw 10th Ave, Ste 804, Portland, OR 97205-2732 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1023559572 | Michelle Berry | Point of Service | 532 N Bryant St, Portland, OR 97217-1771 | 2017-03-16 |
| 1659644912 | Iqh Integrated Quality Healthcare | Point of Service | 11155 Ne Halsey St, Portland, OR 97220-2024 | 2012-02-17 |
| 1134397557 | Philip R. Poulin, O.d. | Point of Service | 87 Exchange St, Portland, ME 04101-5001 | 2008-02-19 |
| 1881871788 | Soraya A Abbassian Md LLC | Point of Service | 10373 Ne Hancock St Ste 117, Portland, OR 97220-3873 | 2008-01-23 |
| 1871668947 | Bayside Employee Health Center | Point of Service | 323 Marginal Way, Portland, ME 04101-2543 | 2006-11-22 |
| 1962853614 | Emily Simpson, Lmt | Point of Service | 505 Nw 9th Ave, Portland, OR 97209-3578 | 2016-06-23 |
| 1275707051 | Barbara G. Isaacs, Ph.d.,pc | Point of Service | 5441 Sw Macadam Ave, Suite 102, Portland, OR 97239-6106 | 2008-04-14 |
| 1235325333 | Myoptic Optometry, LLC | Point of Service | 3333 Se Belmont St, Portland, OR 97214-4244 | 2007-09-21 |
| 1912053331 | Cascadia Behavioral Health | Point of Service | 521 Sw 11th Ave, Portland, OR 97205-2634 | 2007-01-26 |
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|---|---|---|---|---|
| 1477185619 | Advanced Hearing Solutions | Point of Service | 3468 Robert Ave Ne, Salem, OR 97301-7725 | 2020-02-05 |
| 1841853553 | Stars Interpreters LLC | Point of Service | 895 20th St Se, Salem, OR 97301-9698 | 2019-04-18 |
| 1740635713 | Restore Massage Pdx LLC | Point of Service | 14833 Sw 72nd Ave, Tigard, OR 97224-7911 | 2016-04-27 |
| 1184091209 | Stillwater Spa & Wellness Center | Point of Service | 1775 Washburn Way Ste A, Klamath Falls, OR 97603-4304 | 2015-08-24 |
| 1265826820 | J-well Pilates Rehab Studio | Point of Service | 310 E California St Unit B, Jacksonville, OR 97530-9414 | 2015-03-22 |
| 1770789414 | Good Neighbor Care Eugene, LLC | Point of Service | 2630 Lone Oak Way, Eugene, OR 97404-2547 | 2007-06-21 |
| 1891998084 | Timberwood Assisted Living, LLC | Point of Service | 1090 Gateway Loop, Springfield, OR 97477-1113 | 2007-06-06 |
| 1649484759 | Five Rivers Assisted Living and Retirement Commmunity, LLC | Point of Service | 3200 State Street, Suite 200, Salem, OR 97301 | 2007-05-09 |
| 1598977050 | Arbor Place Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-04 |
| 1326039827 | Take Care Health Systems | Point of Service | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1057 | 2005-11-02 |
| 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.