Blake Holloway

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24304 Issued in OR

Practice address

23500 SE Stark St
Gresham, OR 97030-2942

Phone

(503) 406-8846

NPI assigned

May 6, 2024

Last updated

Mar 26, 2026By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Arts Massage LLC

  • Massage Therapist
  • Gresham, OR
  • NPI 1598528747
  NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1083461115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302942",
            "telephone_number": "503-406-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302942",
            "telephone_number": "503-406-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Holderbach, M.S.W., L.C.S.W.
• Samuel Michael Holland, PCA
• Christopher L Holliday, CRM CADC-R
• Hollie Hefferman LMT LLC (Hollie Hefferman LMT)
• Afton Megan Hollister, QMHA -R
• Nicole Elyce Holm
• Jaime Ellen Holtz, DDS
• Home Care Heroes LLC
• Home Health Heroes LLC
• Andrea J Hood

• 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 Mar 26, 2026; 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.