KEVIN THOMAS RYAN
Massage Therapist

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

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
Full Name KEVIN THOMAS RYAN
Gender Male
Practice Address 2220 Nw Front Ave Apt 316
Portland
OR 97209-1998
Practice Telephone 3606212920
Mailing Address 2220 Nw Front Ave Apt 316
Portland
OR 97209-1998
Mailing Telephone 3606212920
Certification Date 2020-10-08
Enumeration Date 2020-10-08
Last Update Date 2020-10-08
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 225700000X Massage Therapist 193400000X SINGLE SPECIALTY GROUP 25054 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1033398284 Kevin Thomas Ryan Marriage & Family Therapist 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 2007-10-24

Office Location

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

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1780020081 Lee Scher Counselor - Addiction (Substance Use Disorder) 1962 Nw Kearney St. #302, Portland, OR 97209 2013-05-14
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1003260993 Stephanie Whitfield Counselor - Addiction (Substance Use Disorder) 324 Nw Davis Street, Portland, OR 97209 2016-04-18
1336544725 Tiffany's Apotheke, LLC Acupuncturist 1983 Nw Flanders St, Suite 109, Portland, OR 97209 2014-10-28
1518590538 Julie Kay Igarta · Julie Kay Tobey Registered Nurse - Registered Nurse First Assistant 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center - Health Service 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1740684448 Samantha Black Counselor - Mental Health 310 Ne Flanders, Portland, OR 97209 2014-10-09
1710282876 Carissa Camile Conner Massage Therapist 1427 Nw Flanders Suite A, Portland, OR 97209 2011-01-21
1730424136 Daniel Liam Cavanaugh Counselor - Mental Health 655 Nw Hoyt, Portland, OR 97209 2012-12-11
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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
1013590017 Pnw Massage and Acupuncture LLC Massage Therapist 736 Se 60th Ave, Portland, OR 97215-1906 2021-04-28
1477136455 Nicholas Mark Maxwell Massage Therapist 5300 Ne 73rd Ave, Portland, OR 97218-3717 2021-04-28
1245812544 Emanuel Lopez Massage Therapist 1260 Se Lambert St Apt 208, Portland, OR 97202-6386 2021-04-26
1326629023 Kerri Holler Massage Therapist 6645 Sw Terri Ct Apt 41, Portland, OR 97225-1054 2021-04-15
1437730025 Kristin N Bradley Massage Therapist 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 2021-04-15
1083293211 Sonja Hortence Corzano Massage Therapist 4415 Ne Sandy Blvd Ste 207, Portland, OR 97213-1400 2021-04-05
1144807926 Sequoia Moon Ruble Massage Therapist 4400 Se Naef Rd Apt A13, Portland, OR 97267-4904 2021-03-26
1558947309 Elizabeth Karambelas Massage Therapist 2306 Ne Glisan St Ste 102, Portland, OR 97232-2392 2021-03-22
1053997015 Ashley Godfrey-O'Neal Massage Therapist 13112 Ne Halsey St, Portland, OR 97230-2350 2021-03-21
1194301259 Iqbal Kana Massage Therapist 630 Sw Alder St, Portland, OR 97205-3616 2021-03-19
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Competitor

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City PORTLAND
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.