BETH W. MANTIS (NPI# 1992056857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992056857 |
| Entity Type | Individual |
| Full Name | BETH W. MANTIS |
| Credential | LMT |
| Practice Address |
29544 Se Heiple Rd Eagle Creek OR 97022-9664 |
| Practice Telephone | 5038876070 |
| Practice Fax Number | 5036302860 |
| Mailing Telephone | 5038876070 |
| Mailing Fax Number | 5036302860 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 18018 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
29544 SE HEIPLE RD |
| City | EAGLE CREEK |
| State | OR |
| Zip Code | 97022-9664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243648 | Heather Lyn Sherman | Social Worker | 27979 Se Bartlemay Rd, Eagle Creek, OR 97022-8720 | 2019-12-29 |
| 1427184324 | Wendy Kay Wilhite | Registered Nurse | 24655 Se Sweetwater Ln, Eagle Creek, OR 97022-9634 | 2007-02-26 |
| 1033759600 | Harty Tilton Kelley | Acupuncturist | 37203 Se Wildcat Mountain Dr, Eagle Creek, OR 97022-9696 | 2020-01-13 |
| 1629693890 | Lynette B Anderson | Social Worker | 30966 Se Judd Rd, Eagle Creek, OR 97022-9750 | 2020-06-12 |
| 1073841367 | Jackalyn Bolger | Registered Nurse | 22067 Se Howlett Rd, Eagle Creek, OR 97022-9764 | 2009-11-24 |
| 1912223173 | Judith Crop | Counselor | 24004 Se Crane Rd, Eagle Creek, OR 97022-9786 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693890 | Lynette B Anderson | Social Worker | 30966 Se Judd Rd, Eagle Creek, OR 97022-9750 | 2020-06-12 |
| 1033759600 | Harty Tilton Kelley | Acupuncturist | 37203 Se Wildcat Mountain Dr, Eagle Creek, OR 97022-9696 | 2020-01-13 |
| 1982243648 | Heather Lyn Sherman | Social Worker | 27979 Se Bartlemay Rd, Eagle Creek, OR 97022-8720 | 2019-12-29 |
| 1912223173 | Judith Crop | Counselor | 24004 Se Crane Rd, Eagle Creek, OR 97022-9786 | 2010-04-13 |
| 1073841367 | Jackalyn Bolger | Registered Nurse | 22067 Se Howlett Rd, Eagle Creek, OR 97022-9764 | 2009-11-24 |
| 1427184324 | Wendy Kay Wilhite | Registered Nurse | 24655 Se Sweetwater Ln, Eagle Creek, OR 97022-9634 | 2007-02-26 |
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616422 | Joseph Gorecki | Rehabilitation Practitioner | 3303 S Bond Ave Bldg 115th, Portland, OR 97239-4501 | 2020-10-16 |
| 1144556861 | Du Nguyen | Rehabilitation Practitioner | 283 Nw 182nd Ave, Beaverton, OR 97006-3413 | 2009-10-30 |
| 1235385139 | Maureen Benedict-lee | Rehabilitation Practitioner | 1636 Se Taylor St, Apt. 5, Portland, OR 97214-2678 | 2008-08-11 |
| 1124288840 | Donita Zoe Diamata | Rehabilitation Practitioner | 10150 Se Ankeny St Ste 201a, Portland, OR 97216-2369 | 2008-06-16 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1275131682 | Suzanne Lynn Groth | Rehabilitation Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-10-16 |
| 1174146948 | Shelly R Carlson | Rehabilitation Practitioner | 3723 Fairview Industrial Dr Se Ste 170, Salem, OR 97302-1174 | 2020-05-27 |
| 1699290072 | Jennifer Lynn Habada | Rehabilitation Practitioner | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2017-08-07 |
| 1013443548 | Amanda Garrison | Rehabilitation Practitioner | 18218 Sw Horse Tale Dr, Beaverton, OR 97007-9789 | 2017-05-03 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE CREEK |
| Zip Code | 97022 |
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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.