MRS. KAITLIN ELIZABETH DEVINE (NPI# 1780141390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780141390 |
| Entity Type | Individual |
| Full Name | MRS. KAITLIN ELIZABETH DEVINE |
| Credential | LMT |
| Practice Address |
1505 Water St Ne Salem OR 97301-6467 |
| Mailing Address |
310 N Larch Ave Stayton OR 97383-1556 |
| Practice Telephone | 5035076443 |
| Mailing Telephone | 5035076443 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
20599 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MASSAGE THERAPY | 20599 | 01 |
| Street Address |
1505 WATER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-6467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740404193 | Anna Christine Linder | Psychologist | 1505 Water St Ne, Salem, OR 97303-6967 | 2007-04-13 |
| 1821489915 | Riverfront Dental, LLC | Clinic/Center | 1505 Water St Ne, Salem, OR 97301-6467 | 2015-02-10 |
| 1649430505 | Megan J. Osborn, Pmhnp/anp, PC | Nurse Practitioner | 1505 Water St Ne, Suite 2, Salem, OR 97301-6467 | 2008-06-13 |
| 1699962654 | Scott S Howe | Dentist | 1505 Water St Ne, Salem, OR 97301-6467 | 2007-10-03 |
| 1669699948 | Glenna M Giesick | Psychologist | 1505 Water St Ne, Suite 5, Salem, OR 97303-6967 | 2007-04-19 |
| 1508083601 | Jeannette Rowell | Counselor | 1505 Water St Ne, Ste 5, Salem, OR 97301-6467 | 2007-04-19 |
| 1316163306 | Megan Joanna Osborn | Nurse Practitioner | 1505 Water St Ne, Suite 2, Salem, OR 97301 | 2007-04-18 |
| 1306864251 | Thomas Scott Dugan | Dentist | 1505 Water St Ne, Suite 1, Salem, OR 97303-6910 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427111327 | Allergy & Asthma Consultants PC | Clinic/Center | 875 Oak St Se Ste 4000, Salem, OR 97301-3960 | 2006-12-19 |
| 1598204844 | Renew Weight Loss LLC | Clinic/Center | 2659 Commercial St Se, Ste 236, Salem, OR 97302-4445 | 2017-02-20 |
| 1457808321 | Dorin Kemmerle Md LLC | Clinic/Center | 4350 Commercial St Se, Salem, OR 97302-3914 | 2016-09-08 |
| 1114292034 | Deborah M Johnson Md PC | Clinic/Center | 1395 Liberty St Se, Salem, OR 97302-4276 | 2012-03-09 |
| 1174850184 | Blue Ridge Osteopathic Manipulative Medicine, Plc | Clinic/Center | 103 E Main St, Salem, VA 24153-3816 | 2009-11-11 |
| 1992999536 | Pacific Spine & Rehab, LLC | Clinic/Center | 2480 Liberty St Ne, Ste 180, Salem, OR 97301-8388 | 2007-08-28 |
| 1134236086 | Charles M May Md PC | Clinic/Center | 801 Mission St Se, Salem, OR 97302-6217 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
| 1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| 1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
| 1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
| 1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
| 1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
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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.