RYAN GIBBONS (NPI# 1609173467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609173467 |
| Entity Type | Individual |
| Full Name | RYAN GIBBONS |
| Credential | LMT |
| Practice Address |
2155 Nw 173rd Ave 103 Beaverton OR 97006 |
| Mailing Address |
2155 Nw 173rd Ave 103 Beaverton OR 97006-3563 |
| Practice Telephone | 5033301117 |
| Mailing Telephone | 5033301171 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10908 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427554211 | Ryan J Gibbons | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2018-04-02 |
| 1508060161 | Ryan Fitz Gibbons | Anesthesiology | 1 Jarrett White Rd, Dept of Anesthesiology, Honolulu, HI 96859-5000 | 2007-06-14 |
| 1467570143 | Ryan Charles Gibbons | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2007-03-27 |
| Street Address |
2155 NW 173RD AVE 103 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679509111 | Mehdi M Mirtorabi | Internal Medicine | 2155 Nw 173rd Ave, Suite 102, Beaverton, OR 97006-3563 | 2006-06-25 |
| 1558816256 | Integrity Auto & Work Injury Chiropractic Clinic | Chiropractor | 2155 Nw 173rd Ave, Suite 104, Beaverton, OR 97006-3563 | 2016-08-23 |
| 1740735463 | Kendra Ashley | Massage Therapist | 2155 Nw 173rd Ave, Suite 104, Beaverton, OR 97006-3563 | 2016-08-23 |
| 1013347657 | Barbara Werner | Massage Therapist | 2155 Nw 173rd Ave, Ste #103, Beaverton, OR 97006-3563 | 2013-11-18 |
| 1114269883 | Kailee Michelle Murdock | Massage Therapist | 2155 Nw 173rd Ave, Suite 103, Beaverton, OR 97006-3563 | 2013-03-20 |
| 1104172410 | Dustie Nicole Chapman | Massage Therapist | 2155 Nw 173rd Ave, Ste. 103, Beaverton, OR 97006-3563 | 2012-07-24 |
| 1457644916 | Samantha E Kreizenbeck | Mechanotherapist | 2155 Nw 173rd Ave, Suite 103, Beaverton, OR 97006-3563 | 2011-05-17 |
| 1780816876 | Mansour Hossein | Chiropractor | 2155 Nw 173rd Ave, Suite# 103, Beaverton, OR 97006 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| 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 |
|---|---|---|---|---|
| 1265819858 | Tiffani Morning | Specialist | 20873 Sw Ravenswood St, Beaverton, OR 97078-5424 | 2015-05-03 |
| 1558753616 | Trisha Egbert | Specialist | 4400 Sw 110th Ave Ste 101, Beaverton, OR 97005-3033 | 2015-02-26 |
| 1376940981 | Denise Clopton | Specialist | 12947 Sw Cherry Blossom Ct, Beaverton, OR 97008-5675 | 2014-11-25 |
| 1235550633 | Jennifer Gabriel | Specialist | 15075 Nw Oakmont Loop, Beaverton, OR 97006-5506 | 2014-01-02 |
| 1013354315 | Cynthia Ann Munyon | Specialist | 14745 Sw Surrey Ct, Beaverton, OR 97006-5989 | 2013-05-28 |
| 1831536473 | Corey Walden | Specialist | 9610 Sw Sunshine Ct Ste 300-400, Beaverton, OR 97005-4154 | 2013-05-22 |
| 1558628008 | Lisa Marie Campos | Specialist | 1925 Nw 173rd Ave, Apt #1610, Beaverton, OR 97006-7319 | 2012-04-20 |
| 1053616441 | Gina Marie Johnson | Specialist | 2077 Nw Town Center Dr, Beaverton, OR 97006-8938 | 2011-01-17 |
| 1245476811 | Christy L Herbert | Specialist | 957 Sw Willow Creek Dr, Beaverton, OR 97006-2404 | 2009-01-01 |
| 1346499803 | Kathleen Louise Bedford | Specialist | 8155 Sw Hall Blvd, Beaverton, OR 97008-6416 | 2008-09-09 |
| Find all providers in BEAVERTON | ||||
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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.