Active NPI
Margaret C Hartmann
- Massage Therapist
- Clackamas, OR
National Provider Identifier
1104162148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14209
- Practice address
- 15240 SE 82ND Dr
Clackamas, OR 97015-9606 - Phone
- (503) 656-5510
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- 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 | 14209 | OR | Primary |
Addresses
Primary practice location
15240 SE 82ND Dr
Clackamas, OR 97015-9606
Mailing address
12429 SE Boise St
Portland, OR 97236-3719
Phone (503) 545-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14209 | Other | OR | OREGON BOARD OF MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 14209 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1104162148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12429 SE BOISE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363719",
"telephone_number": "503-545-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15240 SE 82ND DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159606",
"telephone_number": "503-656-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "MARGARET",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF MASSAGE THERAPIST",
"identifier": "14209",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.