MRS. BRENDA MARIE HARRIS (NPI# 1801457486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801457486 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA MARIE HARRIS |
| Practice Address |
3307 Evergreen Way Ste 601 Washougal WA 98671-2062 |
| Mailing Address |
18699 Ne Marine Dr Slip K5 Portland OR 97230-7360 |
| Practice Telephone | 3608359911 |
| Mailing Telephone | 9188122086 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60960591 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649130 | Brenda Lee Harris | Technician | 12 Angler St, Buckhannon, WV 26201-3833 | 2020-08-13 |
| 1518316934 | Brenda Harris | Home Health Aide | 137 S John Hix St, Westland, MI 48186-3745 | 2016-06-07 |
| 1891159943 | Brenda Harris | Home Health Aide | 2225 Ilion Ave N, Minneapolis, MN 55411-1921 | 2016-04-05 |
| 1386037554 | Brenda Harris | Counselor | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2015-03-12 |
| 1992052484 | Brenda Frances Harris | Speech-Language Pathologist | 1807 222nd Pl, Sauk Village, IL 60411-5047 | 2012-08-14 |
| 1124327218 | Brenda Taylor Harris | Social Worker | 500 Foothill Boulevard, Salt Lake City, UT 84148-0001 | 2011-03-15 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1619535986 | Brenda Harris | Nurse Practitioner | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2019-06-03 |
| 1376947325 | Brenda Harris | Skilled Nursing Facility | 1204 Frye St, Athens, TN 37303-3052 | 2014-10-20 |
| 1689930125 | Brenda Harris | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2012-04-10 |
| Street Address |
3307 EVERGREEN WAY STE 601 |
| City | WASHOUGAL |
| State | WA |
| Zip Code | 98671-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114306586 | Amanda Merrill | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2015-05-19 |
| 1417572488 | Malynn Elizabeth Lytle | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2020-06-15 |
| 1265927875 | Samantha Arnold | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2018-06-26 |
| 1346749785 | Jennifer Tanguay | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2018-02-11 |
| 1982131223 | Treena Naomi Turner | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2017-05-17 |
| 1689049454 | Katie Staples | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2015-12-04 |
| 1083084131 | Holly Taylor | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862829 | Christina Marie Renzema | Pharmacist | 3307 Se Evergreen Bldg 5, Safeway Pharmacy #1687, Washougal, WA 98671 | 2014-08-23 |
| 1801148606 | Kara Renee Gamboa | Speech-Language Pathologist | 1100 34th St., Washougal, WA 98671 | 2012-10-04 |
| 1922386242 | Alison Marie Eaton | Specialist | 918 9th Street, Washougal, WA 98671 | 2011-08-03 |
| 1821389453 | Robyn Dawn Hannah | Massage Therapist | 3256 F Place, Washougal, WA 98671 | 2011-04-30 |
| 1285923698 | Janine Rene' Troyer | Specialist | 1999 37th Street, Washougal, WA 98671 | 2011-04-06 |
| 1538312301 | Soncea Rae Moore | Massage Therapist | 2900 H Street Apt 16, Washougal, WA 98671 | 2008-10-24 |
| 1871743526 | Washougal Sport and Spine, Inc. | Clinic/Center | 1700 Main, Suite 222, Washougal, WA 98671 | 2008-09-30 |
| 1306027404 | Amanda Marie Michel | Massage Therapist | Gillespie Family Chiropractic, 3307 Evergreen Way Suite 601, Washougal, WA 98671 | 2007-11-16 |
| 1588854483 | Advanced Practice Geriatrics, LLC | Nurse Practitioner | 38324 Se Hidden Falls Road, Washougal, WA 98671 | 2007-07-26 |
| 1316147325 | Advanced Practice Geriatrics, Pllc | Nurse Practitioner | 38324 Se Hidden Falls Rd, Washougal, WA 98671 | 2007-07-19 |
| Find all providers in zip 98671 | ||||
| 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 |
|---|---|---|---|---|
| 1265906804 | Rachel Danelle Axtell | Massage Therapist | 3542 P St, Washougal, WA 98671-5215 | 2019-01-16 |
| 1225513534 | Andrew M Salmeron | Massage Therapist | 5122 M Ct, Washougal, WA 98671-5138 | 2018-10-02 |
| 1114306586 | Amanda Merrill | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2015-05-19 |
| 1487043683 | Nola Davis | Massage Therapist | 3308 B St, Washougal, WA 98671-2653 | 2015-01-12 |
| 1154744324 | Jennifer Elizabeth Bowen | Massage Therapist | 3298 F Pl, Washougal, WA 98671-2033 | 2014-01-23 |
| 1811328446 | Adina Porter | Massage Therapist | 768 S A St, Washougal, WA 98671-2224 | 2013-12-08 |
| 1619230562 | Susan M Lo | Massage Therapist | 852 Washougal River Rd, Washougal, WA 98671-1508 | 2012-06-15 |
| 1023398518 | Joshua Wayne Grooms | Massage Therapist | 528 20th St, Washougal, WA 98671-1526 | 2011-08-28 |
| 1821389453 | Robyn Dawn Hannah | Massage Therapist | 3256 F Place, Washougal, WA 98671 | 2011-04-30 |
| 1538312301 | Soncea Rae Moore | Massage Therapist | 2900 H Street Apt 16, Washougal, WA 98671 | 2008-10-24 |
| Find all providers in WASHOUGAL | ||||
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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.