Active NPI
Meredith Anne Obenchain, LMT, DIPL. ABT
- Massage Therapist
- Portland, OR
National Provider Identifier
1063654804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15668
- Practice address
- 8283 SW Barbur Blvd
Portland, OR 97219-2871 - Phone
- (503) 244-1330
- NPI assigned
- Mar 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15668 | OR | Primary |
Addresses
Primary practice location
8283 SW Barbur Blvd
Portland, OR 97219-2871
Mailing address
10956 SE Azar Dr
Happy Valley, OR 97086-7804
Phone (208) 724-0343
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 |
|---|---|---|---|
| 15668 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1063654804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10956 SE AZAR DR",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867804",
"telephone_number": "208-724-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8283 SW BARBUR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192871",
"telephone_number": "503-244-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBENCHAIN",
"first_name": "MEREDITH",
"middle_name": "ANNE",
"credential": "LMT, DIPL. ABT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.