ADVANCED MASSAGE CONCEPTS, LLC (NPI# 1609026582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609026582 |
| Entity Type | Organization |
| Organization Name | ADVANCED MASSAGE CONCEPTS, LLC |
| Practice Address |
5125 Sw Macadam Ave Suite 145 Portland OR 97239-3820 |
| Practice Telephone | 5032414818 |
| Practice Fax Number | 5032417073 |
| Mailing Telephone | 5032414818 |
| Mailing Fax Number | 5032417073 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | MRS. CAROL ANN CARNESE (OWNER) |
| Authorized Official Telephone | 5032414818 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
12504 | OR | Ambulatory Health Care Facilities |
| Street Address |
5125 SW MACADAM AVE SUITE 145 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225099179 | Lawrence M. Smith | Counselor | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2006-03-30 |
| 1538615364 | Thomas Grace | Chiropractor | 5125 Sw Macadam Ave, #210, Portland, OR 97239-3820 | 2016-08-31 |
| 1982031035 | Teresa Gryder | Naturopath | 5125 Sw Macadam Ave, Suite 210, Portland, OR 97239-3820 | 2013-10-03 |
| 1346443504 | Carmeleta Dianne Hatcher | Counselor | 5125 Sw Macadam Ave, 145, Portland, OR 97239-3820 | 2007-06-06 |
| 1508999756 | Erin Lommen | Naturopath | 5125 Sw Macadam Ave, Portland, OR 97239-3820 | 2007-03-14 |
| 1326171869 | Carol Ann Carnese | Massage Therapist | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2007-03-13 |
| 1154462737 | Oregon Scottish Rite Clinics | Speech-Language Pathologist | 5125 Sw Macadam Ave, 200, Portland, OR 97239-3809 | 2007-02-08 |
| 1710023247 | Oregon Scottish Rite Clinics | Voluntary or Charitable | 5125 Sw Macadam Ave, Suite 200, Portland, OR 97239-3809 | 2007-01-30 |
| 1538172598 | Dara Michelle Charlton | Social Worker | 5125 Sw Macadam Ave, Suite 145, Portland, OR 97239-3820 | 2006-08-14 |
| 1629030713 | Alice Penniman Rose | Social Worker | 5125 Sw Macadam Ave, Ste 145, Portland, OR 97239 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| 1811441652 | Boly Health and Education, LLC | Clinic/Center | 2607 Nw Thurman St, Portland, OR 97210-2202 | 2016-08-10 |
| 1073927158 | Personal Fitness and Consulting | Clinic/Center | 12014 Se Schiller St, Portland, OR 97266-3258 | 2014-06-17 |
| 1427475698 | Eternal Spring Massage | Clinic/Center | 7048 Se Milwaukie Ave, Portland, OR 97202-5719 | 2014-03-25 |
| 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.