Michelle Renee Gilham (NPI# 1851911036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1851911036 |
| Entity Type | Individual |
| Full Name | Michelle Renee Gilham |
| Other Name | Ms. Michelle Renee Smeltzer |
| Credential | LMT/CNA |
| Gender | Female |
| Practice Address |
16560 S.e. 80th Ave, Portland Or 97267 19650 Se 80th Ave Portland OR 97267 |
| Practice Telephone | 5037990350 |
| Mailing Address |
16560 S.e. 80th Ave, Portland Or 97267 Portland OR 97267 |
| Mailing Telephone | 5037990350 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | LMT25461 | OR |
| 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 |
|---|---|---|---|---|
| 1417583733 | Brie James | Massage Therapist | 14515 Ne Broadway, Portland, OR 97230-4128 | 2020-03-18 |
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1003441957 | Kara Deon | Massage Therapist | 1611 Nw Lovejoy St Apt 10, Portland, OR 97209-2345 | 2020-03-10 |
| 1942831581 | Brenda Edin | Massage Therapist | 6718 N Campbell Ave, Portland, OR 97217-4962 | 2020-02-02 |
| 1952932253 | Alexandria Nicole Jester | Massage Therapist | 7325 Se 60th Ave, Portland, OR 97206-7567 | 2020-01-27 |
| 1407486624 | Summer Dawn Adhara | Massage Therapist | 511 Sw 10th Ave Ste 1001, Portland, OR 97205-2711 | 2020-01-16 |
| 1184264038 | Nicholas Peterka | Massage Therapist | 1400 Nw Marshall St Unit 108, Portland, OR 97209-3367 | 2020-01-08 |
| 1649819038 | Ashley Wilkins | Massage Therapist | 2912 Se 141st Ave, Portland, OR 97236-2604 | 2020-01-02 |
| 1164061016 | Stephen S Bullock | Massage Therapist | 1720 Sw 4th Ave Apt 313, Portland, OR 97201-5531 | 2019-12-24 |
| 1043858178 | Darla Sweet | Massage Therapist | 7550 Sw 66th Ave, Portland, OR 97223-9469 | 2019-12-19 |
| Find all providers in PORTLAND | ||||
| Street Address |
16560 S.E. 80TH AVE, PORTLAND OR 97267 19650 SE 80TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
| 1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
| 1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
| 1336446772 | Deanna Mccrary | Naturopath | 7831 Se Lake Rd Ste 102, Milwaukie, OR 97267 | 2011-02-22 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
| 1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
| 1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
| 1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
| 1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
| Find all providers in zip 97267 | ||||
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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.