Irina Golovin

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26236 Issued in OR

Practice address

806 SW Broadway Ste 350
Portland, OR 97205-3336

Phone

(503) 224-9513

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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.

• Reyn M. Johnson DC PC

  • Chiropractor
  • Portland, OR
  • NPI 1609978469
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1043895253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29707 SE OLD RANCH DR",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239736",
            "telephone_number": "503-975-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053336",
            "telephone_number": "503-224-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOVIN",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Goldwyn, DMD
• Traja G Golightly
• Rebecca Jennie Mae Golik
• Kathryn Gollier
• Tara Jeanne Golliher, LMT
• Laila Sofia Golrangi
• Robert Brandon Goltzman
• Stephanie Gombos, PHARMD
• Sukho Gomes
• Naarai Gomez Rodriguez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.