THERAPEUTIC LASER CENTER (NPI# 1821096033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821096033 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC LASER CENTER |
| Practice Address |
115 W Stewart Ave Medford OR 97501-3607 |
| Practice Telephone | 5417727007 |
| Practice Fax Number | 5417727771 |
| Mailing Telephone | 5417727007 |
| Mailing Fax Number | 5417727771 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY ANNE CRANDALL (DOCTOR OF NATURAL SCIENCE,) |
| Authorized Official Telephone | 5417727007 |
| Authorized Official Credential | PHD, CLT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
115 W STEWART AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922147537 | Richard L. Leong | Dentist | 115 W Stewart Ave, Suite 101, Medford, OR 97501-3607 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295947877 | Heartland Rehabilitation Services of New Jersey, LLC | Clinic/Center | 180 Route 70 East, Medford, NJ 08055-8703 | 2007-05-04 |
| 1518093376 | Southern Oregon Orthopedics Inc | Clinic/Center | 2780 E Barnett Rd, Suite 200, Medford, OR 97504 | 2007-02-26 |
| 1487736955 | Roepke Physical Therapy Limited Partnership | Clinic/Center | 640 S 8th St, Medford, WI 54451-2017 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280855 | Rehabcare Group East, LLC | Clinic/Center | 7320 Sw Hunziker Rd Ste 205, Tigard, OR 97223-2301 | 2020-03-18 |
| 1598130965 | Sarah Mcdonnell LLC | Clinic/Center | 512 Cascade Ave, Suite 100, Hood River, OR 97031-2126 | 2015-12-10 |
| 1043601602 | Infinity Rehab | Clinic/Center | 8750 Se 155th Ave, 18, Happy Valley, OR 97086-5533 | 2015-02-17 |
| 1922354703 | Oregon Housing and Associated Services, Inc. | Clinic/Center | 2582 19th St Se, Salem, OR 97302-1501 | 2012-07-30 |
| 1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
| 1497979785 | Southwest Physical Therapy | Clinic/Center | 29286 Ellensburg, Gold Beach, OR 97444 | 2007-04-11 |
| 1568685766 | Southwest Physical Therapy LLC | Clinic/Center | 279 N Central St, Coquille, OR 97423-1241 | 2007-04-10 |
| 1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
| 1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
| 1255843355 | Physical Therapy Northwest Limited Partnership | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-10-30 |
| 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.