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 |
|---|---|---|---|---|
| 1487257960 | Felicia Royce | Massage Therapist | 3314 S Kelly Ave, Portland, OR 97239-4628 | 2020-11-18 |
| 1528661105 | Amy Grace Smith | Massage Therapist | 3826 Se 51st Ave, Portland, OR 97206-3063 | 2020-11-17 |
| 1619579653 | Brent A Luebbert | Massage Therapist | 3724 N Massachusetts Ave Unit B, Portland, OR 97227-1030 | 2020-11-13 |
| 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 |
| 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 | Physical 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 |
| 1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
| 1346438124 | Rx Direct Inc | Durable Medical Equipment & Medical Supplies | 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 |
| 1346301603 | Matthew Hill | Dentist | 17186 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2006-12-12 |
| 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.