Blueprint for Balance

Primary specialty

SpecialistTaxonomy code 174400000X

License

14317 Issued in OR

Legal business name

BLUEPRINT FOR BALANCE

Practice address

7 SE 30TH Ave
Portland, OR 97214-1902

Phone

(503) 810-4941

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Collaine Brooke Faddis, LMT

Title

Licensed Massage Therapist

Phone

(503) 810-4941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1083971378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141902",
            "telephone_number": "503-810-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141902",
            "telephone_number": "503-810-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT FOR BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "FADDIS",
        "authorized_official_first_name": "COLLAINE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-810-4941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "14317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Blue, OTR
• Sheri Blue, LCSW,CADC1,LMT
• Xoe Joy Blue
• Bluebird Sky LLC
• Valerie Johnson Bluemel, RDH
• Bluestone Clinic LLC
• Teal Hazel Bluestone, MA
• Kris Bluett-Woolen, LMT
• Haley Bluett
• Patrick Tyler Bluett

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.