Hollie Hefferman LMT LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

HOLLIE HEFFERMAN LMT LLC

Practice address

915 NE 2ND St
Gresham, OR 97030-7512

Phone

(503) 661-1302

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Hollie Hefferman, LMTNPI 1518503358

Title

Owner/Member

Phone

(502) 422-8297

Specialties & licenses 1

Addresses

Other names 1

• Hollie Hefferman LMT Doing business as

Locations

Practitioners 2

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

• Hollie Hefferman

  • Massage Therapist
  • Gresham, OR
  • NPI 1518503358
  NPD Authorized official
• Cynthia Lynn Conlin, LAC

  • Acupuncturist
  • Sandy, OR
  • NPI 1417976770
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1043973522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-558-4977",
            "fax_number": "971-253-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307512",
            "telephone_number": "503-661-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIE HEFFERMAN LMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HEFFERMAN",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "502-422-8297",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollie Hefferman LMT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hollie Hefferman LMT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Marie Hogan, M.D.
• David Eric Holden, LMT
• Mark Edward Holderbach, M.S.W., L.C.S.W.
• Samuel Michael Holland, PCA
• Christopher L Holliday, CRM CADC-R
• Afton Megan Hollister, QMHA -R
• Blake Holloway
• Nicole Elyce Holm
• Jaime Ellen Holtz, DDS
• Home Care Heroes LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.