EVELYN SHANNON (NPI# 1811413123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811413123 |
| Entity Type | Individual |
| Full Name | EVELYN SHANNON |
| Credential | LMT |
| Practice Address |
118 N Killingsworth St Portland OR 97217-2435 |
| Mailing Address |
3424 Ne Jessup St Portland OR 97211-7424 |
| Practice Telephone | 5032884454 |
| Mailing Telephone | 5037395913 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 023525 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
118 N KILLINGSWORTH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134261241 | Jason Clement Brown | Chiropractor | 118 N Killingsworth St, Portland, OR 97217-2435 | 2007-02-13 |
| 1730780750 | Kathy Keymolen | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2020-11-05 |
| 1306402029 | Hannah Marie Ebrite | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2019-05-17 |
| 1407353022 | Joel Janson | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2018-04-10 |
| 1477062883 | Heidi Mae Johnson | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-09-28 |
| 1295258606 | Jacquelyn Baker | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-07-18 |
| 1891220083 | Audrey Jane Wimmer | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-04-25 |
| 1790219301 | Lindsay Pelley | Chiropractor | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-04-20 |
| 1396285144 | Erik Brennan | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2017-02-27 |
| 1891145991 | Martin Lemke | Massage Therapist | 118 N Killingsworth St, Portland, OR 97217-2435 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| 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.