MISS ALTER EGO SALON, LLC (NPI# 1609409523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609409523 |
| Entity Type | Organization |
| Organization Name | MISS ALTER EGO SALON, LLC |
| Practice Address |
21185 Nw West Union Rd Hillsboro OR 97124-8543 |
| Practice Telephone | 5032069472 |
| Mailing Telephone | 5032069472 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | TERRIE LYNNE KLOTZ (OWNER/OPERATOR) |
| Authorized Official Telephone | 5032069472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MISS ALTER EGO SALON, LLC | 21185 Nw West Union Rd, Hillsboro, OR 97124 |
| Street Address |
21185 NW WEST UNION RD |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-8543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741020 | Tanya Ilona Purt-nichols | Specialist/Technologist, Other | 10600 Se Mcloughlin Blvd Ste 203, Milwaukie, OR 97222-7428 | 2018-05-20 |
| 1851843023 | Joshua Travis South I | Specialist/Technologist, Other | 160 E 18th Ave, Eugene, OR 97401-4160 | 2016-11-03 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1912343989 | Culp Enterprises, Inc. | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2013-05-17 |
| 1417211814 | Judith May Culp | Specialist/Technologist, Other | 81 Centennial Loop, Suite 3, Eugene, OR 97401-2471 | 2012-06-29 |
| 1285770958 | Kathleen Sue Sherwood | Specialist/Technologist, Other | 680 E 18th Ave, Eugene, OR 97401-4360 | 2007-01-30 |
| 1295353969 | Eain Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2020-07-09 |
| 1942859160 | Esthetics Nw Services LLC | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-09-10 |
| 1821640673 | Michelle Varga | Specialist/Technologist, Other | 81 Centennial Loop Ste 3, Eugene, OR 97401-2471 | 2019-07-11 |
| 1326445651 | Erik Berntsen | Specialist/Technologist, Other | 1820 Sw Vermont St, Suite K, Portland, OR 97219-1945 | 2014-12-02 |
| 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.