TINA GADZALA LMT (NPI# 1902440738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902440738 |
| Entity Type | Organization |
| Organization Name | TINA GADZALA LMT |
| Practice Address |
22400 Se Stark St Gresham OR 97030-2656 |
| Practice Telephone | 8582049661 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | TINA GADZALA (LMT) |
| Authorized Official Telephone | 8582049661 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
22400 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095597 | Ronald L Kerns | Optometrist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2005-07-07 |
| 1336786953 | Okaeri Massage Therapy LLC | Mechanotherapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-12-02 |
| 1962048538 | Samantha Walker | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-11-19 |
| 1275177628 | Lauren Sutton | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-10-29 |
| 1609340710 | Emily Anderson Steele | Naturopath | 22400 Se Stark St, Gresham, OR 97030-2656 | 2019-01-11 |
| 1225557549 | Christina Gadzala | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2017-09-19 |
| 1609228238 | Danielle | Massage Therapist | 22400 Se Stark St, Gresham, OR 97030-2656 | 2016-07-07 |
| 1194175638 | Katherine Zieman | Naturopath | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2016-06-15 |
| 1407283237 | Bridges Family Wellness PC | Clinic/Center | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2013-10-13 |
| 1508293887 | Danielle Quimby Currey | Naturopath | 22400 Se Stark St, Suite 105, Gresham, OR 97030-2656 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989022 | Ideal Option, Pllc | Clinic/Center | 1140 Ne Burnside Rd, Gresham, OR 97030-5711 | 2018-04-13 |
| 1720313968 | University of Western States | Clinic/Center | 1304 Nw Civic Drive, Gresham, OR 97030 | 2009-10-06 |
| 1326211673 | My Family Chiropractor, LLC | Clinic/Center | 655 Nw Burnside Rd Ste 5, Gresham, OR 97030-3745 | 2008-04-08 |
| 1215440557 | Mobile Vaccs LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-11-08 |
| 1982139051 | Healthez2u LLC | Clinic/Center | 3838 Se Saint Andrews Pl, Gresham, OR 97080-8421 | 2017-04-26 |
| 1831641505 | Whitaker Wellness LLC | Clinic/Center | 4253 Se 182nd Ave, Gresham, OR 97030-5083 | 2016-10-28 |
| 1386919132 | Legacy Mount Hood Medical Center | Clinic/Center | 24800 Se Stark St, Gresham, OR 97030-3378 | 2012-03-13 |
| 1437442795 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2011-05-19 |
| 1972776243 | Balance Chinese Medical Clinic, LLC | Clinic/Center | 655 Nw Burnside Rd, Ste 5, Gresham, OR 97030-3745 | 2008-04-08 |
| 1053419218 | Providence Health & Services - Oregon | Clinic/Center | 440 Nw Division St, Gresham, OR 97030-5506 | 2006-09-20 |
| Find all providers in GRESHAM | ||||
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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.