COYOTE RESOLVE (NPI# 1669095287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669095287 |
| Entity Type | Organization |
| Organization Name | COYOTE RESOLVE |
| Practice Address |
12923 Nw Cornell Rd Ste 201 Portland OR 97229-5834 |
| Mailing Address |
14355 Sw Rochester Dr Beaverton OR 97008-4931 |
| Practice Telephone | 5036463393 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | STEVE HANSON (MANAGER) |
| Authorized Official Telephone | 5039569065 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
Chiropractic Providers | ||
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Coyote Resolve | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COYOTE RESOLVE, LLC | 12923 Nw Cornell Rd Suite 201, Portland, OR 97229 |
| Street Address |
12923 NW CORNELL RD STE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992873616 | Beverly Ki Hacely | Acupuncturist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2006-12-01 |
| 1861940108 | Jackie Johnson | Massage Therapist | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2016-09-15 |
| 1427205889 | Lauren Mccabe Dc PC | Clinic/Center | 12923 Nw Cornell Rd Ste 201, Portland, OR 97229-5834 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
| Find all providers in zip 97229 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1427228220 | Seth David Watterson | Chiropractor | 4839 Ne Martin Luther King Jr Blvd Ste 207, Portland, OR 97211-3388 | 2008-03-07 |
| 1699822312 | Lynne Whalen | Chiropractor | 66 Pearl St Ste 320, Portland, ME 04101-4165 | 2007-01-04 |
| 1962576348 | Darren A Smith | Chiropractor | 4829 Ne Mlk Blvd, Portland, OR 97211-3491 | 2006-11-20 |
| 1750327318 | Dean Allen Clark | Chiropractor | 6105 S.w. Macadam Ave., Portland, OR 97239-3264 | 2006-06-21 |
| 1316987720 | John Charles Foland | Chiropractor | 2608 Ne Sandy Blvd, Portland, OR 97232-2342 | 2006-06-07 |
| 1801844568 | Karen B Kelsall | Chiropractor | 1615 Nw 23rd Ave, Suite 2, Portland, OR 97210-2557 | 2006-05-05 |
| 1295204634 | Kelsey Leigh Woodland | Chiropractor | 905 Se Ankeny St, Portland, OR 97214-1349 | 2018-11-15 |
| 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.