MR. THOMAS BENJAMIN HALVORSON (NPI# 1710306022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710306022 |
Entity Type | Individual |
Full Name | MR. THOMAS BENJAMIN HALVORSON |
Credential | LMP |
Practice Address |
5609 S Lawrence St Tacoma WA 98409-5319 |
Mailing Address |
3933 S 302nd St Auburn WA 98001-2225 |
Practice Telephone | 2533802685 |
Mailing Telephone | 2533802685 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA60457447 | WA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASINGTON STATE MASSAGE LICENCE | MA60457447 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578555264 | Thomas Lee Halvorson | Orthopaedic Surgery | 820 Memorial Street, Ste 3, Prosser, WA 99350 | 2005-08-18 |
Street Address |
5609 S LAWRENCE ST |
City | TACOMA |
State | WA |
Zip Code | 98409-5319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497941694 | Andrew Iverson | Naturopath | 5609 S Lawrence St, Tacoma, WA 98409-5319 | 2007-09-20 |
1801328091 | Dallin Legrand Peterson | Naturopath | 5609 S Lawrence St, Tacoma, WA 98409-5319 | 2017-03-28 |
1578988242 | Lauren Peizer | Naturopath | 5609 S Lawrence St, Tacoma, WA 98409-5319 | 2014-03-04 |
1932491529 | Gregory James Robertson | Naturopath | 5609 S Lawrence St, Tacoma, WA 98409-5319 | 2011-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
Find all providers in zip 98409 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780292466 | Katharine Ishida | Student in an Organized Health Care Education/Training Program | 1933 Dock St Unit 428, Tacoma, WA 98402-3273 | 2020-07-17 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1326675984 | Kyle Wilburn | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way Ste 310, Tacoma, WA 98405-3926 | 2020-03-24 |
1629601265 | Andrew Tran Do | Student in an Organized Health Care Education/Training Program | 3401 49th St Ne, Tacoma, WA 98422-4617 | 2020-02-21 |
1033742986 | Molly Elisabeth Chandler | Student in an Organized Health Care Education/Training Program | 9409 Jackson Ave, Tacoma, WA 98431-0001 | 2020-02-19 |
1801434469 | Zachary Smith | Student in an Organized Health Care Education/Training Program | 1001 N Yakima Ave Apt 107, Tacoma, WA 98403-2536 | 2019-12-13 |
1912544941 | Laura Weeks | Student in an Organized Health Care Education/Training Program | 1010 122nd St S, Tacoma, WA 98447-0001 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1154967339 | Angela Kennedy | Student in an Organized Health Care Education/Training Program | 12180 Park Ave S Pacific Lutheran University, Tacoma, WA 98447-0001 | 2019-11-21 |
1174171771 | Natali Barnes | Student in an Organized Health Care Education/Training Program | Business Mailing Address 9040 Jackson Ave, Tacoma, WA 98431-5650 | 2019-08-28 |
Find all providers in TACOMA |
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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.