Kim Northcott Dewey

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

OR3371 Issued in OR

Practice address

15800 Boones Ferry Rd
Ste C203
Lake Oswego, OR 97035-3470

Phone

(503) 697-2031

NPI assigned

Mar 12, 2012

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1114292927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 BOONES FERRY RD",
            "address_2": "STE C203",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353470",
            "telephone_number": "503-697-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 BOONES FERRY RD",
            "address_2": "STE C203",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353470",
            "telephone_number": "503-697-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "KIM",
        "middle_name": "NORTHCOTT",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "OR3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Massage Therapist in Oregon

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