Individual provider Active NPI

Robert Michael Loren

  • Massage Therapist
  • Longview, WA
National Provider Identifier
1104757103
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.61634601 Issued in WA
Practice address
820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081
Phone
(360) 414-3220
Fax
(360) 353-5350
NPI assigned
May 27, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MASS.MA.61634601 WA Primary

Addresses

Primary practice location

820 Ocean Beach Hwy Ste 116
Longview, WA 98632-4081

Mailing address

909 S 5TH Ave
Kelso, WA 98626-2521
Phone (360) 562-2046

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

LicenseStateTypeSpecialty
MASS.MA.61634601WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwoods Chiropractic & Massage, PLLC Single Specialty PastSince Mar 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1104757103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 5TH AVE",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986262521",
            "telephone_number": "360-562-2046",
            "fax_number": "360-353-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY STE 116",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324081",
            "telephone_number": "360-414-3220",
            "fax_number": "360-353-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.61634601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.