Benestar 713 Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BENESTAR 713 INC

Practice address

1211 NW Glisan St Ste 205
Portland, OR 97209-3054

Phone

(503) 515-1023

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Joachim CretenNPI 1194294199

Title

Owner

Phone

(503) 515-1023

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.

• Joachim Creten, MASSAGE THERAPIST

  • Massage Therapist
  • Portland, OR
  • NPI 1194294199
  NPD (past) Authorized official

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1114490406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-515-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-515-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENESTAR 713 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "CRETEN",
        "authorized_official_first_name": "JOACHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-515-1023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Benedict
• Matthew Benedict Jr., FNP-BC
• Benefice of Distinctive Goals LLC
• Hailey Beneker
• Jeffrey Benerofe, MA, LPC
• Benevolence Healing Arts LLC
• Brayden Benfit, PHARMD
• George W Bengtson, MD
• Rachel Rose Bengtzen, M.D.
• Charity Joy Benham

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.