Active NPI
Russell Colt Quiring, MA 61339704
- Massage Therapist
- Battle Ground, WA
National Provider Identifier
1548975121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61339704
- Practice address
- 105 N Parkway Ave
Battle Ground, WA 98604-9129 - Phone
- (360) 666-6001
- NPI assigned
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 61339704 | WA | Primary |
Addresses
Primary practice location
105 N Parkway Ave
Battle Ground, WA 98604-9129
Mailing address
1004 SE 145TH CT
Vancouver, WA 98683-7037
Phone (682) 444-8456
Other practice location 1
16904 SE 1st St Ste B103
Vancouver, WA 98684-8511
Phone (360) 787-2505
Other practice location 2
318 NE 99th St Ste L
Vancouver, WA 98665-5902
Phone (360) 558-7904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61339704 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opdahl Chiropractic Office Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Battle Ground, WA
- NPI 1134315781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1548975121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SE 145TH CT",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986837037",
"telephone_number": "682-444-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N PARKWAY AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049129",
"telephone_number": "360-666-6001"
}
],
"practiceLocations": [
{
"address_1": "16904 SE 1st St Ste B103",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986848511",
"country_code": "US",
"telephone_number": "360-787-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "318 NE 99th St Ste L",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986655902",
"country_code": "US",
"telephone_number": "360-558-7904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIRING",
"first_name": "RUSSELL",
"middle_name": "COLT",
"credential": "MA 61339704",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61339704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Ground, WA
- Proactive Orthopedic and Sports Physical Therapy of Battle Ground
- Providence Health & Services - Oregon (Providence Medical Group)
- Providence Health & Services-Oregon (Providence Radiology-Battleground)
- Ana Puente, DDS
- Purple Pear Body Therapy
- Cynthia Dean Radclliff, RPH
- Gurmu Dhaaye Ragassa, RN, BSN
- Melissa Ramirez, DPT
- Emily Ramseth
- Rapid Revive Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.