Anna M Dulwick

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24638 Issued in OR

Practice address

19767 SW 72ND Ave Ste 103
Tualatin, OR 97062-8354

Phone

(503) 620-6480

Fax

(503) 684-4598

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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• Locke Chiropractic LLC

  • Sports Physician Chiropractor
  • Tualatin, OR
  • NPI 1275874380

  Single Specialty

  NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1154897734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE STE 103",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE STE 103",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-620-6480",
            "fax_number": "503-684-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULWICK",
        "first_name": "ANNA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Matthew Douglass, MD
• Jake Select Douma
• Katelynn N Dozal
• Katherine Dravis
• Janine L Dudley, OTR CHT
• Jeffrey David Duman, MD
• Desiree Danielle Dunbar, PSY.D.
• Maya Duncan
• Cheryl Ann Duvall, RN, LMT
• Mareechi Duvvuri, DC

• Massage Therapist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.