NPIMap

Organization Active NPI

Oregon Massage Clinic

  • Specialist
  • Newberg, OR
National Provider Identifier
1033532171
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16771 Issued in OR
Legal business name
OREGON MASSAGE CLINIC
Practice address
408 E 1St St
Newberg, OR 97132-2938
Phone
(503) 538-0100
Fax
(971) 832-8554
NPI assigned
Jan 24, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Timothy Patrick WilcoxNPI 1629307889
Title
Owner
Phone
(503) 538-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 16771 OR Primary

Addresses

Primary practice location

408 E 1St St
Newberg, OR 97132-2938

Mailing address

408 E 1St St
Newberg, OR 97132-2938
Phone (503) 538-0100

National Provider Directory

National Provider Directory

Locations

408 E 1st St
Newberg, OR 97132
Phone (503) 538-0100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1033532171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322938",
            "telephone_number": "503-538-0100",
            "fax_number": "971-832-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322938",
            "telephone_number": "503-538-0100",
            "fax_number": "971-832-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-538-0100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "16771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.