MR. KENNETH ALAN WELLS (NPI# 1659550051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659550051 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ALAN WELLS |
| Credential | L.MT. |
| Practice Address |
14780 Sw Osprey Dr Suite 350 Beaverton OR 97007-8028 |
| Practice Telephone | 5037081082 |
| Mailing Telephone | 5037081082 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10956 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164727798 | Kenneth P Wells | Counselor | 1589 Steeple Dr, Suffolk, VA 23433-1615 | 2011-01-12 |
| 1023161080 | Kenneth Beckett Wells | Counselor | 15627 E Centipede Dr, Fountain Hills, AZ 85268-1530 | 2007-01-20 |
| 1346335551 | Kenneth Douglas Wells | Preventive Medicine | !001 Louisiana, Suite 1047, Houston, TX 77021 | 2006-10-04 |
| 1467437624 | Kenneth Wells | Podiatrist | 286 Euclid Ave, Suite 204, San Diego, CA 92114-3610 | 2005-12-10 |
| 1992989974 | Kenneth Ray Wells | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-26 |
| 1720090657 | Kenneth Wells | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-08-12 |
| 1770593618 | Kenneth Wayne Wells | Psychiatry & Neurology | 943 N Church St, Psychiatric Associates of Spartanburg, Spartanburg, SC 29303-2712 | 2006-08-09 |
| 1629097506 | Kenneth Wells | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2006-07-19 |
| 1891722831 | Kenneth Lewis Wells | Specialist/Technologist | 1500 Oglethorpe Ave, Suite 500b, Athens, GA 30606-2179 | 2006-06-26 |
| 1407819774 | Kenneth Lee Wells | Physical Therapist | 865 W Lake Dr, Dba Edwin H. Martinat Rehabilitation Center, Mount Airy, NC 27030-2157 | 2006-04-08 |
| Street Address |
14780 SW OSPREY DR SUITE 350 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007-8028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316263 | Dale J Olesberg | Dentist | 14780 Sw Osprey Dr, Suite #360, Beaverton, OR 97007-8028 | 2005-09-14 |
| 1255887220 | Inspire Physical Therapy | Clinic/Center | 14780 Sw Osprey Dr, Suite 270, Beaverton, OR 97007-8028 | 2016-08-30 |
| 1467830224 | David M Barney Dmd LLC | Dentist | 14780 Sw Osprey Dr, Suite 200, Beaverton, OR 97007-8028 | 2015-05-13 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1972924595 | Camille Walker, Dds, P.C. | Dentist | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2013-12-27 |
| 1083905996 | Beaverton Psychology Services LLC | Psychologist | 14780 Sw Osprey Dr, Suite 365, Beaverton, OR 97007-8028 | 2011-04-26 |
| 1407180185 | Gladys Charlotte Walgren | Orthotic Fitter | 14780 Sw Osprey Dr, Beaverton, OR 97007 | 2009-09-28 |
| 1295982239 | David Michael Keoki Barney | Dentist | 14780 Sw Osprey Dr, Suite 200, Beaverton, OR 97007-8028 | 2008-08-21 |
| 1093998015 | Robin Jeanne Bousquet | Physical Therapist | 14780 Sw Osprey Dr, Suite 270, Beaverton, OR 97007-8028 | 2007-12-13 |
| 1851599757 | Theresa Ann Koenig | Specialist | 14780 Sw Osprey Dr, Suite Number 350, Beaverton, OR 97007-8028 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567124 | Isaac G Frank | Massage Therapist | 5920 Sw Erickson Ave Apt 16, Beaverton, OR 97005-4557 | 2020-08-06 |
| 1578172417 | Rebecca Bamberg | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 150, Beaverton, OR 97006-8133 | 2020-07-27 |
| 1497398283 | Ashley Dawn Contreras | Massage Therapist | 10029 Sw Nimbus Ave Ste 230, Beaverton, OR 97008-7110 | 2019-10-23 |
| 1316580608 | James Anthony Jacoby | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 605, Beaverton, OR 97005-3019 | 2019-10-20 |
| 1942858832 | Karen Elaine Weitz | Massage Therapist | 1975 Nw 167th Pl Ste 5, Beaverton, OR 97006-4908 | 2019-09-03 |
| 1073078614 | Daniel Edwards | Massage Therapist | 4655 Sw Griffith Dr Ste 180, Beaverton, OR 97005-8732 | 2019-02-07 |
| 1922578756 | Deanna (deedee) Lancaster Hoover | Massage Therapist | 3515 Sw 108th Ave, Beaverton, OR 97005-1830 | 2018-12-05 |
| 1548735046 | Rap Manual Therapy LLC | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 120, Beaverton, OR 97006-8115 | 2018-10-10 |
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 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.