MR. YARLEY NYSTROM (NPI# 1992927792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992927792 |
| Entity Type | Individual |
| Full Name | MR. YARLEY NYSTROM |
| Credential | L.M.T. |
| Practice Address |
9900 Sw Wilshire St Suite 190-e Portland OR 97225-5035 |
| Practice Telephone | 5037569076 |
| Practice Fax Number | 5032973827 |
| Mailing Telephone | 5037569076 |
| Mailing Fax Number | 5032973827 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11353 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9900 SW WILSHIRE ST SUITE 190-E |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635363 | Julie D. Frederick | Psychologist | 9900 Sw Wilshire St, Suite 160, Portland, OR 97225-5035 | 2005-11-08 |
| 1548690373 | Amara Narten | Acupuncturist | 9900 Sw Wilshire St, Ste. 190-j, Portland, OR 97225-5035 | 2013-11-14 |
| 1447686902 | Agape Hospice Care, Inc. | Hospice Care, Community Based | 9900 Sw Wilshire St, Suite 170, Portland, OR 97225-5035 | 2013-09-16 |
| 1700162609 | Ashley Nicole Boudet | Naturopath | 9900 Sw Wilshire St, Suite 190-d, Portland, OR 97225-5035 | 2011-10-24 |
| 1346550936 | Martin N Raitiere Md | Psychiatry & Neurology | 9900 Sw Wilshire St, Ste 220, Portland, OR 97225-5035 | 2010-10-15 |
| 1326205709 | Patricia Hallam, Lac, LLC | Clinic/Center | 9900 Sw Wilshire St, Suite 190-b, Portland, OR 97225-5035 | 2008-05-21 |
| 1497930697 | Maryanne Rose | Counselor | 9900 Sw Wilshire St, #130, Portland, OR 97225-5035 | 2008-01-07 |
| 1083894034 | The Spark of Life Inc. | Chiropractor | 9900 Sw Wilshire St, Ste 170, Portland, OR 97225-5035 | 2007-11-07 |
| 1104024249 | Lara Simone D'amore | Counselor | 9900 Sw Wilshire St, Suite 190, Portland, OR 97225-5035 | 2007-07-10 |
| 1932229960 | Edward Stanford | Psychiatry & Neurology | 9900 Sw Wilshire St, Suite 260, Portland, OR 97225-5035 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1497352389 | Nikki Nesta | Massage Therapist | 7849 Se Monroe St, Portland, OR 97222-1158 | 2020-10-05 |
| 1518574953 | Jessica Rose Hobbs | Massage Therapist | 1515 Sw Jefferson St Apt 15, Portland, OR 97201-6064 | 2020-09-29 |
| 1295340057 | Shane Dylan Adair | Massage Therapist | 2934 Se Stephens St, Portland, OR 97214-4960 | 2020-09-09 |
| 1518579416 | Scott Schwartz | Massage Therapist | 4425 S Corbett Ave, Portland, OR 97239-4260 | 2020-08-20 |
| 1134747074 | Katrina Hubbard | Massage Therapist | 1515 Sw 5th Ave, Portland, OR 97201-5406 | 2020-07-07 |
| 1407474539 | Kirstin Hoops | Massage Therapist | 1531 N Webster St, Portland, OR 97217-3752 | 2020-07-06 |
| Find all providers in PORTLAND | ||||
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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.