Address: 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998
Phone: 3606212920

KEVIN THOMAS RYAN (NPI# 1063019479) 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) 1063019479
Entity Type Individual
Practice Address 2220 Nw Front Ave Apt 316
OR 97209-1998
Practice Telephone 3606212920
Mailing Telephone 3606212920
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor Y


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 25054 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KEVIN RYAN

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1548769524 Kevin Ryan Physician Assistant 12 High Street Suite 102, Lewiston, ME 04240 2018-02-06
1811272263 Kevin Michael Ryan Optometrist 5201 W War Memorial Dr, Peoria, IL 61615-9222 2011-10-17
1326341645 Kevin Patrick Ryan Physical Therapist 1111 W North 12th St, Shelbyville, IL 62565-9554 2010-12-08
1033398284 Kevin Thomas Ryan Marriage & Family Therapist 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 2007-10-24
1790809663 Kevin A Ryan Dentist 5312 Carolina Pl, Springfield, VA 22151-4401 2007-03-18
1033252465 Kevin J Ryan Counselor 5127 Troon Ln, Durham, NC 27712-1829 2007-02-15
1346309275 Kevin S Ryan Physical Therapist 30 Great Rd Ste 105, Acton, MA 01720 2006-12-06
1184796062 Kevin Peter Ryan Chiropractor 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 2006-11-15
1326066614 Kevin Shawn Ryan Dentist 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 2006-07-17
1790717759 Kevin Padric Ryan Pharmacy 4727 Denver Avenue South, C/O Bartell Drug Company, Seattle, WA 98134-2316 2006-07-07

Office Location

Street Address 2220 NW FRONT AVE APT 316
State OR
Zip Code 97209-1998

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
Find all providers in zip 97209

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
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
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
1326665670 Kenneth Daniel Fuller Massage Therapist 9112 N Polk Ave, Portland, OR 97203-2320 2020-07-02
Find all providers in PORTLAND


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Zip Code 97209

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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.