MS. JULIE LYNN DETAMORE (NPI# 1598951634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598951634 |
| Entity Type | Individual |
| Full Name | MS. JULIE LYNN DETAMORE |
| Other Name | MS. J. LYNN DETAMORE |
| Credential | L.AC. |
| Practice Address |
552 Nw Evans St Sheridan OR 97378-1208 |
| Mailing Address |
Po Box 14 Sheridan OR 97378-0014 |
| Practice Telephone | 5034748876 |
| Mailing Telephone | 5034748876 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 563 | OR | Other Service Providers |
| Street Address |
552 NW EVANS ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1376076331 | Timothy Roaden | Peer Specialist | 356 Ne Faulconer Ct, Sheridan, OR 97378-1255 | 2017-04-06 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538395306 | Randy Eugene Crowe | Acupuncturist | 18110 Highway 22, Sheridan, OR 97378-9519 | 2009-06-06 |
| 1073841664 | Traci L Wilson | Acupuncturist | 45 E Loucks St, Suite 014, Sheridan, WY 82801-6339 | 2009-11-19 |
| 1427187194 | Michael Dean Patty | Acupuncturist | 1011 N Main St, Sheridan, WY 82801-3037 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073490 | Krista Marie Obenlock | Acupuncturist | 2408 N Baldwin St, Portland, OR 97217-6404 | 2020-11-06 |
| 1083215388 | Serena Whitridge | Acupuncturist | 2690 May St # 101, Hood River, OR 97031-9786 | 2020-11-03 |
| 1558961037 | Dean Johnson | Acupuncturist | 310 Nw 5th St Ste 201, Corvallis, OR 97330-4895 | 2020-10-26 |
| 1841897550 | Woven Wellness LLC | Acupuncturist | 6511 N Interstate Ave, Portland, OR 97217-4835 | 2020-10-06 |
| 1972110187 | Washizu Body Wellness | Acupuncturist | 1374 Willamette St Ste 6, Eugene, OR 97401-4075 | 2020-09-30 |
| 1386251403 | Mallory Ann Olney | Acupuncturist | 16146 Blackfeather Ln, La Pine, OR 97739-9799 | 2020-09-24 |
| 1518571322 | Charisse Renee Squires | Acupuncturist | 1804 Se Oak St, Portland, OR 97214-1538 | 2020-08-31 |
| 1679185060 | Gillian Richards | Acupuncturist | 2955 N Hwy 97 Ste 101, Bend, OR 97703-7559 | 2020-08-18 |
| 1659989069 | Touchet Acupuncture | Acupuncturist | 4605 Ne Fremont St Ste 204a, Portland, OR 97213-1715 | 2020-07-22 |
| 1376160804 | Taiping Jia | Acupuncturist | 7100 Sw Fir Loop # 205, Tigard, OR 97223-8022 | 2020-07-01 |
| 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.