PNW Medical Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PNW MEDICAL MASSAGE LLC

Practice address

400 E Evergreen Blvd Ste 205B
Vancouver, WA 98660-3385

Phone

(360) 524-2779

NPI assigned

Mar 20, 2022

Organization subpart

No

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

Authorized official

Name

Erin C StaffordNPI 1417558743

Title

Member

Phone

(940) 391-2155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Erin Claire Stafford, LMT, MMP

  • Massage Therapist
  • Vancouver, WA
  • NPI 1417558743

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1093464810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NW 120TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 205B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603385",
            "telephone_number": "360-524-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 NW 120th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852495",
            "country_code": "US",
            "telephone_number": "940-391-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PNW MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "940-391-2155"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Tyree Plummer II, LMT
• Evangeline Royon Plunkett
• Laura Plymale
• PNW Aging Specialty Services, LLC
• PNW ENT
• Poa Pharma North America LLC
• Christie Joyce Podhora, ARNP
• Allonah Rose Podvin, RN
• Points of Origin, PLLC
• Dipesh Pokharel, MD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.