Pacific NW Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PACIFIC NW MASSAGE

Practice address

144 SE Clay St
Dallas, OR 97338-2805

Phone

(503) 707-6486

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Tatti, LMTNPI 1659702835

Title

Licensed Massage Therapist

Phone

(503) 707-6486

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Tatti, LMT

  • Massage Therapist
  • Salem, OR
  • NPI 1659702835
  NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1033828330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16905 FALLS CITY RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389494",
            "telephone_number": "503-707-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SE CLAY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382805",
            "telephone_number": "503-707-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NW MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "TATTI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-707-6486",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.