JACI LAVON ROE (NPI# 1669960316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669960316 |
| Entity Type | Individual |
| Full Name | JACI LAVON ROE |
| Practice Address |
233 E Columbia River Hwy Troutdale OR 97060-2078 |
| Practice Telephone | 5034919266 |
| Practice Fax Number | 5034910547 |
| Mailing Telephone | 5034919266 |
| Mailing Fax Number | 5034910547 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11851 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
233 E COLUMBIA RIVER HWY |
| City | TROUTDALE |
| State | OR |
| Zip Code | 97060-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508030420 | Columbia Gorge Chiropractic | Chiropractor | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2008-04-22 |
| 1962945410 | Fran Nysturm | Massage Therapist | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2016-11-30 |
| 1265898993 | Alexandra Paige Fletcher | Massage Therapist | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2016-01-11 |
| 1588041081 | Columbia Gorge Naturopathy | Naturopath | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2015-05-04 |
| 1770860736 | Tressa Mae Hoffman | Contractor | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2011-11-04 |
| 1497073738 | Joanna Christine Fisher | Naturopath | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2010-05-11 |
| 1255567475 | Elizabeth C Hawkins | Massage Therapist | 233 E Columbia River Hwy, Troutdale, OR 97060-2078 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861921124 | Kayla Michelle Stewart | Doula | 424 Se 19th St, Troutdale, OR 97060 | 2017-06-08 |
| 1467856955 | Meghan Ellen Revoir Bennett | Naturopath | 330 Se 3rd Street, Troutdale, OR 97060 | 2014-10-13 |
| 1699012310 | Scott C Williams | Pharmacist | 22855 N.e. Parklane, Wood Village, OR 97060 | 2013-01-15 |
| 1285888636 | Dan E. Cox | Counselor | 107 E. Historic Columbia River Hwy, Suite 207, Troutdale, OR 97060 | 2008-11-12 |
| 1356592596 | Emily J White | Pulmonary Function Technologist | 735 Sw 14th St, Troutdale, OR 97060 | 2008-10-07 |
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1104072057 | Sharon Brennan | Nurse Practitioner | 2800 Sw 257th Avenue, Columbia View Family Health Center, Troutdale, OR 97060 | 2008-08-12 |
| 1902094386 | Steven Gary Cranford | Chiropractor | 1530 Sw 257th Dr., Troutdale, OR 97060 | 2007-10-10 |
| 1750581062 | Gresham-troutdale Family Medical Center | Non-Pharmacy Dispensing Site | 1700 Sw 27th Ave, Troutdale, OR 97060 | 2007-07-24 |
| 1710181755 | Valerie Kay Robertson | Specialist | 3703 Se 39th, Portland, OR 97060 | 2007-06-13 |
| Find all providers in zip 97060 | ||||
| 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 |
|---|---|---|---|---|
| 1558989699 | Greyson Thomas Aragon | Massage Therapist | 124 Se Harlow Ave, Troutdale, OR 97060-2049 | 2020-07-06 |
| 1386200871 | Andrea O'brien | Massage Therapist | 620 Se 11th Cir, Troutdale, OR 97060-3234 | 2019-05-10 |
| 1851889752 | Rebecca Cathleen Ahl | Massage Therapist | 422 Se Harlow Ave, Troutdale, OR 97060-2055 | 2018-04-25 |
| 1356719702 | Casey Kreamier | Massage Therapist | 725 Sw 257th Ave, Apt 75, Troutdale, OR 97060-7425 | 2015-09-02 |
| 1952610321 | Shellie Louise Williams | Massage Therapist | 205 E Historic Columbia River Hwy, Troutdale, OR 97060-2078 | 2010-10-01 |
| 1417138207 | Sarah Jena Andrews | Massage Therapist | 1980 Sw Montmore Way, Troutdale, OR 97060-5401 | 2007-11-20 |
| 1912516865 | Jebrahn Ferrier-carpenter | Massage Therapist | 233 E Historic Columbia River Hwy, Troutdale, OR 97060-2078 | 2020-07-27 |
| 1023633203 | Lily Adolf | Massage Therapist | 25603 Se Stark St, Troutdale, OR 97060-3305 | 2020-06-12 |
| 1669097176 | Eva Burbach | Massage Therapist | 25603 Se Stark St, Troutdale, OR 97060-3305 | 2020-06-10 |
| 1508481078 | Ashley Krieger | Massage Therapist | 25603 Se Stark St, Troutdale, OR 97060-3305 | 2020-06-10 |
| Find all providers in TROUTDALE | ||||
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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.