MS. CAROLINE YVONNE DERRICKSON-UMATHUM


Address: 1906 Broadway St, Vancouver, WA 98663-3325
Phone: 3606947668

MS. CAROLINE YVONNE DERRICKSON-UMATHUM (NPI# 1972637189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972637189
Entity Type Individual
Full Name MS. CAROLINE YVONNE DERRICKSON-UMATHUM
Credential MACOM, LAC
Practice Address 1906 Broadway St
Vancouver
WA 98663-3325
Practice Telephone 3606947668
Practice Fax Number 3606949531
Mailing Telephone 3606947668
Mailing Fax Number 3606949531
Enumeration Date 2007-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist Other Service Providers

Office Location

Street Address 1906 BROADWAY ST
City VANCOUVER
State WA
Zip Code 98663-3325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497931869 Nancy Jo Vieira Acupuncturist 1906 Broadway St, Vancouver, WA 98663-3325 2008-01-16
1902159247 An Shen Wellness Wellness Acupuncturist 1906 Broadway St, Vancouver, WA 98663-3325 2012-10-24
1184995490 Michael Prevec LLC Acupuncturist 1906 Broadway St, Vancouver, WA 98663-3325 2012-01-18
1093007155 Karynn Andrea Mackinnon Massage Therapist 1906 Broadway St, Vancouver, WA 98663-3325 2011-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946673 Jessica Maree Carnes Dental Hygienist 6505 Nw Cherry Street, Vancouver, WA 98663 2020-03-04
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1932689460 Jennifer Fowler Behavioral Analyst 1901 Broadway St Apt 103, Vancouver, WA 98663 2018-08-15
1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
1023521747 Focal Clinic Inc Counselor 3305 Main St Ste 205, Vancouver, WA 98663 2017-11-16
1215455365 Thirty Three Oaks, LLC Skilled Nursing Facility 400 E. 33rd St., Vancouver, WA 98663 2017-09-08
1174047690 Douglas Gangat Uy Counselor 1610 C Street, Suite 102, Vancouver, WA 98663 2017-07-26
1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
1356740328 Joseph Kelly Dentist 1008 Nw 59th St., Vancouver, WA 98663 2014-08-15
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467082057 Vancouver Natural Health Acupuncturist 1112 Daniels St Ste 102a, Vancouver, WA 98660-3070 2020-01-22
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1841740560 Eileen Durham Acupuncturist 17200 Se 26th Dr Unit 46, Vancouver, WA 98683-4311 2016-10-05
1275081267 Jessica Campbell Acupuncturist 515 E 39th St, Vancouver, WA 98663-2240 2016-09-19
1134579592 Min-hwa Lee Acupuncturist 1912 Grand Blvd, Vancouver, WA 98661-4603 2016-06-16
1720418577 Kamela Helsing Acupuncturist 10617 Se Burlington Dr, Vancouver, WA 98664-5380 2013-11-14
1639508831 Julia Mortlock Acupuncturist 16904 Se 1st St, Vancouver, WA 98684-8511 2013-11-07
1346679164 Dr. Julia Mortlock LLC Acupuncturist 16904 Se 1st St Ste 104, Vancouver, WA 98684-8511 2013-11-02
1760729883 Megan Elisabeth Cohen Acupuncturist 13317 Ne 12th Ave Ste 115a, Vancouver, WA 98685-2731 2013-01-09
1083991343 Brian Lewis Rowland Klump Acupuncturist 16505 Se 1st St Ste H, Vancouver, WA 98684-9586 2011-11-14
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Competitor

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City VANCOUVER
Zip Code 98663

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Dataset Information

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.

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