CODY CANTWELL (NPI# 1932642576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932642576 |
| Entity Type | Individual |
| Full Name | CODY CANTWELL |
| Credential | DC |
| Practice Address |
11804 Se Sunnyside Rd Clackamas OR 97015-9308 |
| Practice Telephone | 5034540782 |
| Practice Fax Number | 5034540752 |
| Mailing Telephone | 5034540782 |
| Mailing Fax Number | 5034540752 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 13331 | TX | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 5775 | OR | Chiropractic Providers |
| Street Address |
11804 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912503 | Jennifer Leanne Mchattie | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2008-08-20 |
| 1023629896 | Toes In The Water Wellness LLC | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2020-08-13 |
| 1487202131 | Tyler Richard Rose | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2019-08-27 |
| 1871056200 | Amber Nicole Clark | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2019-04-11 |
| 1548621022 | Destini Chlopek | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2016-03-11 |
| 1528440260 | Jaime Michael | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2015-06-18 |
| 1801276688 | Empowered Health | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2015-06-05 |
| 1932507480 | Lisa Hoeck | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2014-12-16 |
| 1518390889 | Jamie Gene Baker | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2013-08-09 |
| 1134566110 | Mary Suzanne Christ | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634108 | Accident Care Chiropractic and Massage of Clackamas Inc | Chiropractor | 10201 Se Sunnyside Rd, Clackamas, OR 97015-9782 | 2019-08-12 |
| 1184276545 | Stephen Dale Walter | Chiropractor | 12034 Se Sunnyside Rd, Clackamas, OR 97015-8382 | 2019-07-15 |
| 1235481615 | G. David Rheaume | Chiropractor | 15351 Se 82nd Dr, Clackamas, OR 97015-9667 | 2012-10-09 |
| 1548518061 | Verg Cmt | Chiropractor | 10001 Se Sunnyside Rd Ste 120, Clackamas, OR 97015-9728 | 2012-08-15 |
| 1043514466 | Katanah Grossman Dc, PC | Chiropractor | 10001 Se Sunnyside Rd Ste 204, Clackamas, OR 97015-9704 | 2010-12-28 |
| 1316181688 | Dustin Hundley LLC | Chiropractor | 13110 Se Sunnyside Rd # B, Clackamas, OR 97015 | 2009-04-29 |
| 1184861619 | New Health Chiropractic | Chiropractor | 15480 S.e. 82nd Drive, Clackamas, OR 97015 | 2009-01-21 |
| 1598912503 | Jennifer Leanne Mchattie | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2008-08-20 |
| 1538385513 | John Anthony Iatesta | Chiropractor | 12000 Se Valley View Ter, Clackamas, OR 97015-6737 | 2007-04-18 |
| 1003977448 | William A Parker | Chiropractor | 15875 Se 114th Ave Ste C, Clackamas, OR 97015 | 2006-12-12 |
| Find all providers in CLACKAMAS | ||||
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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.