JENNIFER JOHANSEN (NPI# 1730682162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730682162 |
Entity Type | Individual |
Full Name | JENNIFER JOHANSEN |
Credential | LMT |
Practice Address |
1201 Sw 12th Ave Suite 600 Portland OR 97205 |
Practice Telephone | 5032242425 |
Practice Fax Number | 5032247512 |
Mailing Telephone | 5032242425 |
Mailing Fax Number | 5032247512 |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 23809 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942758859 | Jennifer Johansen | Pediatrics | 3350 Route 138 Ste 126, Wall Township, NJ 07719-9694 | 2016-09-20 |
1407074750 | Jennifer L Johansen | Pharmacist | 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 | 2007-04-23 |
1891034377 | Jennifer Joan Johansen | Case Manager/Care Coordinator | 401 E 8th St, Ste A, Rochester, IN 46975-1443 | 2013-02-04 |
1992933188 | Jennifer C Johansen | Nurse Practitioner | 1725 W Harrison St, Suite 1118, Chicago, IL 60612-3841 | 2009-06-25 |
Street Address |
1201 SW 12TH AVE SUITE 600 |
City | PORTLAND |
State | OR |
Zip Code | 97205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841413069 | Eric Daniel Newberg | Acupuncturist | 1201 Sw 12th Ave, Portland, OR 97205-2046 | 2007-04-10 |
1174982441 | Bertita Compere | Massage Therapist | 1201 Sw 12th Ave, Suite 600, Portland, OR 97205-2046 | 2016-02-15 |
1982954947 | William Christopher Howell | Massage Therapist | 1201 Sw 12th Ave, Suite 600, Portland, OR 97205-2046 | 2012-09-17 |
1538467576 | Jennifer Ann Pryal | Midwife | 1201 Sw 12th Ave, Suite 205, Portland, OR 97205-2035 | 2011-02-28 |
1063650539 | Greg Lekas | Chiropractor | 1201 Sw 12th Ave, Suite 205, Portland, OR 97205-2046 | 2009-01-21 |
1467699397 | Sheila M Custer-sage | Massage Therapist | 1201 Sw 12th Ave, Suite 205, Portland, OR 97205-2046 | 2009-01-14 |
1568609493 | Justin Levy | Acupuncturist | 1201 Sw 12th Ave, Suite 205, Portland, OR 97205-2046 | 2009-01-14 |
1730348905 | Avista Chiropractic LLC | Chiropractor | 1201 Sw 12th Ave, Suite 600, Portland, OR 97205-2046 | 2008-06-03 |
1659554244 | Lindsey S Nelson | Naturopath | 1201 Sw 12th Ave, Suite 025, Portland, OR 97205-2046 | 2007-12-06 |
1962619080 | Jacob I May | Chiropractor | 1201 Sw 12th Ave, Suite 205, Portland, OR 97205-2046 | 2007-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
Find all providers in zip 97205 |
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 |
---|---|---|---|---|
1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
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.