TAMMY WALLACE (NPI# 1710018213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710018213 |
Entity Type | Individual |
Full Name | TAMMY WALLACE |
Credential | CMT |
Practice Address |
1227 Goerig Rd Ste H Woodland WA 98674 |
Practice Telephone | 3602251200 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | WA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134356645 | Tammy D. Wallace | Optometrist | 1234 Andrews Ave, Suite E, Ozark, AL 36360-3767 | 2009-06-11 |
1457720955 | Tammy Wallace | Speech-Language Pathologist | 1003 Beckett Ste 201, San Antonio, TX 78213-1372 | 2015-09-15 |
Street Address |
1227 GOERIG RD STE H |
City | WOODLAND |
State | WA |
Zip Code | 98674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871530717 | Holdahl Family Chiropractic | Chiropractor | 1227 Goerig Rd, Woodland, WA 98674-9515 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
1083914733 | Wal-mart Stores Inc | Technician/Technologist | 1486 Dike Access Rd, Woodland, VA 98674 | 2010-10-28 |
1275921090 | Mia Nicole Treasure | Specialist | 2418 Nw Hayes Rd, Woodland, WA 98674-2218 | 2014-12-31 |
Find all providers in zip 98674 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801345475 | Jennifer Ray Rosenbaum | Specialist | 321 Forest Park Rd, Woodland, WA 98674-7204 | 2016-09-23 |
1275921090 | Mia Nicole Treasure | Specialist | 2418 Nw Hayes Rd, Woodland, WA 98674-2218 | 2014-12-31 |
1841550845 | Lori Gonder | Specialist | 566 Goerig St, Woodland, WA 98674-9442 | 2012-05-23 |
1235350836 | Matthew Jon Gargulinski | Specialist | 632 West Gibson Rd, Woodland, CA 95695 | 2007-05-01 |
1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
1568680684 | Teresa Kasiarz | Specialist | 1264 E Gibson Rd Ste F600, Woodland, CA 95776-6319 | 2007-04-23 |
1699808378 | Tennille Renee Roberts | Specialist | 15450 County Road 99, Woodland, CA 95695-9339 | 2007-03-13 |
1417361916 | Gabriela Garcia | Specialist | 15450 County Road 99, Woodland, CA 95695-9339 | 2014-06-12 |
1609062397 | Aaron Miguel | Specialist | 124 Walnut St, Woodland, CA 95695-3137 | 2007-09-17 |
1366654238 | Woodland Nephrology Med Grp | Specialist | 520 Cottonwood St, Suite 2, Woodland, CA 95695-3603 | 2007-05-04 |
Find all providers in WOODLAND |
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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.