Active NPI
Jason Matthew Younkin, CMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1093340796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 25428
- Practice address
- 2122 NW Quimby St
Portland, OR 97210-2622 - Phone
- (503) 292-7668
- NPI assigned
- Mar 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 25428 | OR | Primary |
Addresses
Primary practice location
2122 NW Quimby St
Portland, OR 97210-2622
Mailing address
1411 NW Quimby St Apt 508
Portland, OR 97209-4093
Phone (847) 404-8062
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Whole Body Health, Inc | Current | Accepting new patients | |
| Root Whole Body Health, Inc | Massage Therapist | Current | Accepting new patients |
Locations
2122 NW Quimby St
Portland, OR 97210
Phone (503) 288-7668
Organizations & group practices 2
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.
-
- Naturopath
- Portland, OR
- NPI 1497912752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1093340796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 NW QUIMBY ST APT 508",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972094093",
"telephone_number": "847-404-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 NW QUIMBY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102622",
"telephone_number": "503-292-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNKIN",
"first_name": "JASON",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "25428",
"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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.