AUDRA SKINNER (NPI# 1659619526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659619526 |
| Entity Type | Individual |
| Full Name | AUDRA SKINNER |
| Credential | LMT |
| Practice Address |
1659 Ne Market Dr Fairview OR 97024-3867 |
| Practice Telephone | 5034659100 |
| Mailing Telephone | 5034659100 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13515 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1659 NE MARKET DR |
| City | FAIRVIEW |
| State | OR |
| Zip Code | 97024-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548566 | Steven John Prom | Chiropractor | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2005-12-13 |
| 1659929545 | Springwater Chiropractic Center LLC | Chiropractor | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2019-09-03 |
| 1033604160 | Kenneth Robert Romero | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2018-07-01 |
| 1003325531 | Daniel L Hubbell | Chiropractor | 1659 Ne Market Dr, Fairview, OR 97024 | 2017-09-27 |
| 1366974560 | Gina Barbera | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2017-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255792560 | Brent Labhart | Counselor | 17720 Ne Halsey, Fairview, OR 97024 | 2016-03-14 |
| 1720325954 | Glen R Edgerton | Internal Medicine | 3797 Ne Fairview Lake Way, Fairview, OR 97024 | 2013-01-08 |
| 1073657003 | Aoife O'sullivan | Family Medicine | Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 | 2007-02-15 |
| 1780240713 | Christie Ellen Thompson | Massage Therapist | 1659 Ne Market Drive, Fairview, OR 97024 | 2019-05-15 |
| 1528338423 | Denise Irene Houck | Nurse Practitioner | 1800 Ne Market Drive, Fairview, OR 97024 | 2012-01-09 |
| 1467625632 | Lisa Camille Gibson | Registered Nurse | 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024 | 2008-04-09 |
| 1447624663 | Western Psychological and Counseling Services PC | Health Maintenance Organization | 22070 Ne Chinook Way, Fairview, OR 97024-2647 | 2015-11-26 |
| 1891815957 | Robert Craig Stassi I | Chiropractor | 1606 Ne 223rd Ave, Fairview, OR 97024-2662 | 2007-03-30 |
| 1811168925 | Laurie Anne Mcadam | Occupational Therapy Assistant | 100 Bridge St, Fairview, OR 97024-2666 | 2008-03-17 |
| 1265052708 | Jessica A Steinhebel | Music Therapist | 200 Cedar St, Fairview, OR 97024-3740 | 2020-04-24 |
| Find all providers in zip 97024 | ||||
| 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 |
|---|---|---|---|---|
| 1972061794 | Guijun Du | Massage Therapist | 431 Stacy Rd Ste 107, Fairview, TX 75069-8717 | 2019-03-11 |
| 1306387352 | Lucie Lasnier | Massage Therapist | 75 Camby Dr, Fairview, NC 28730-9562 | 2017-03-09 |
| 1760742167 | Becky Lynn Sullivan | Massage Therapist | 2086 Kurtz Rd, Fairview, MI 48621-9740 | 2012-05-21 |
| 1265763098 | Kelly Marie Cooper | Massage Therapist | 25 Quail Hollow Rd, Fairview, NC 28730-8505 | 2010-01-19 |
| 1801921986 | Dianna K Evans | Massage Therapist | 28702 Highway A, Fairview, MO 64842-8160 | 2007-02-22 |
| 1780240713 | Christie Ellen Thompson | Massage Therapist | 1659 Ne Market Drive, Fairview, OR 97024 | 2019-05-15 |
| 1033604160 | Kenneth Robert Romero | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2018-07-01 |
| 1366974560 | Gina Barbera | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2017-03-28 |
| 1003001181 | Theo Dickinson Chappell | Massage Therapist | 2 Fairview Hills Dr, Fairview, NC 28730-9777 | 2007-09-11 |
| 1619162971 | Katrina Auer Chappell | Massage Therapist | 2 Fairview Hills Dr, Fairview, NC 28730-9777 | 2007-09-10 |
| Find all providers in FAIRVIEW | ||||
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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.