Active NPI
Kara Dawn Justice
- Massage Therapist
- Clackamas, OR
National Provider Identifier
1043563737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13344
- Practice address
- 9100 SE Sunnyside Rd
Clackamas, OR 97015-6772 - Phone
- (503) 659-3846
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13344 | OR | |
| Massage Therapist | 225700000X | 13344 | OR | Primary |
Addresses
Primary practice location
9100 SE Sunnyside Rd
Clackamas, OR 97015-6772
Mailing address
167 Canemah Rd
Oregon City, OR 97045-3556
Phone (801) 641-5114
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13344 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1043563737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 CANEMAH RD",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970453556",
"telephone_number": "801-641-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970156772",
"telephone_number": "503-659-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "KARA",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "13344",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.