ETHAN W TREVINO
Massage Therapist

Address: 5253 Ne Sandy Blvd, Portland, OR 97213-2562

ETHAN W TREVINO (NPI# 1942894290) 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) 1942894290
Entity Type Individual
Full Name ETHAN W TREVINO
Gender Male
Credential LMT
Practice Address 5253 Ne Sandy Blvd
Portland
OR 97213-2562
Practice Telephone 5038935131
Mailing Address 64770 Big Buck Dr
Deer Island
OR 97054-9418
Mailing Telephone 8016863612
Certification Date 2021-02-26
Enumeration Date 2021-02-26
Last Update Date 2021-02-26
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 225700000X Massage Therapist 26242 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5253 NE SANDY BLVD
City PORTLAND
State OR
Zip Code 97213-2562

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457981045 Taylor Walker Massage Therapist 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2020-01-22
1861989386 Catherine Soncrant Massage Therapist 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2018-04-19
1487169371 Nicole Kennedy · Nicole Pease Chiropractor 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2017-12-13
1528436276 Molly Mcmullen Massage Therapist 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2015-09-11
1134566573 Loretta Marie Grisaffi Massage Therapist 5253 Ne Sandy Blvd, Portland, OR 97213 2013-05-24
1326369398 Cascade Spine & Injury Center, LLC Clinic/Center 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2010-06-14
1043532963 Jonathan William Mcclaren Chiropractor 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2010-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780235945 Ivan Mercado Massage Therapist 5235 Ne Sandy Blvd, Portland, OR 97213-2562 2019-09-27
1841531308 Kelley Curtis Specialist 5223 Ne Sandy Blvd, Portland, OR 97213-2562 2013-03-08

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1922696202 Kelly Landreth Community Health Worker 4400 Ne Halsey St Bldg 2 Third Floor, Portland, OR 97213 2021-01-04
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'Strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-Miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor · Addiction (Substance Use Disorder) 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1053886580 Sandy Dental Pdx Dentist 7836 Ne Sandy Blvd, Portland, OR 97213 2018-10-11
1598248072 Katelyn Boel Pharmacist 4400 Ne Halsey St, Building 2, 4th Floor, Portland, OR 97213 2018-09-11
1568944908 Shaunti Basil Physical Therapist 4805 Ne Glisan Street, Portland, OR 97213 2018-09-01
1588143432 Jessica Doskow Physical Therapist 507 Ne 47th Ave, Portland, OR 97213 2018-08-11
1578049631 Credena Health LLC Pharmacy · Community/Retail Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629663422 Kelly Lynn Jordan 2304 E Burnside St Ste 1, Portland, OR 97214-1677 2021-03-03
1346835428 Amanda Fisher 2303 E Burnside St., Portland, OR 97214-1655 2021-03-01
1386238137 Body Ritual LLC 2933 Ne Broadway St, Portland, OR 97232-1760 2021-02-23
1376137299 Christopher George Mcclorey 5440 Sw Westgate Dr Ste 100, Portland, OR 97221-2437 2021-02-22
1285228239 Holly V Bonadurer 4531 Se Belmont St Ste 312, Portland, OR 97215-1693 2021-02-21
1548854516 Anna Belle Vacheresse · Anna Drahos-Vacheresse 913 Sw 16th Ave, Portland, OR 97205-1730 2021-02-21
1770176257 Sarah Solano 3014 Ne Killingsworth St, Portland, OR 97211-6814 2021-02-16
1972196657 Ashley Marion Dudley 4927 Ne 30th Ave, Portland, OR 97211-7007 2021-02-14
1194318055 Alexandra J Moreland 936 Se Ankeny St, Portland, OR 97214-1300 2021-02-11
1528659513 Kelly Behm 1617 Ne 17th Ave, Portland, OR 97232-3561 2021-02-01
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

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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.