Mud Spoons & Swings LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1054075 Issued in OR

Legal business name

MUD SPOONS & SWINGS LLC

Doing business as

Dana Yanoch

Practice address

2818 SE 75TH Ave
Portland, OR 97206-1856

Phone

(503) 349-9007

Fax

(877) 239-8868

NPI assigned

May 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana Yvonne Yanoch, MOT, OTR/LNPI 1962747352

Title

Occupational Therapist

Phone

(503) 349-9007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana Yanoch Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Yvonne Yanoch, MOT, OTR/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1962747352
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1114362712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 SE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061856",
            "telephone_number": "503-349-9007",
            "fax_number": "877-239-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 SE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061856",
            "telephone_number": "503-349-9007",
            "fax_number": "877-239-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUD SPOONS & SWINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "YANOCH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "503-349-9007",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1054075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF OTR",
            "identifier": "1962747352",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dana Yanoch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Much, RN
• Tamara Jane Mucha, MPT
• Skyler Allan Muchmore
• Janet Lee Muckridge, RD LD
• Clement Mucyo
• Debbie Mudgett, RN
• Mudra Massage, LLC
• Jeffrey David Mudrick, M.D.
• Megan Lear Mudrick, MD
• Sarah Simpson Mueller-Stephens, LPC, MA

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.