Active NPI
House Nine LLC
- Massage Therapist
- Portland, OR
National Provider Identifier
1114557782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- HOUSE NINE LLC
- Doing business as
- TeaScape
- Practice address
- 1413 SE Hawthorne Blvd # 1
Portland, OR 97214-3640 - Phone
- (503) 841-6460
- NPI assigned
- Jan 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Shah, LMT
- Title
- Owner
- Phone
- (312) 301-7187
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1413 SE Hawthorne Blvd # 1
Portland, OR 97214-3640
Mailing address
1413 SE Hawthorne Blvd # 1
Portland, OR 97214-3640
Phone (503) 841-6460
Other names 1
- TeaScape
National Provider Directory
National Provider DirectoryLocations
1413 SE Hawthorne Blvd
#1
Portland, OR 97214
Phone (503) 841-6460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579651200000",
"number": "1114557782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 SE HAWTHORNE BLVD # 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143640",
"telephone_number": "503-841-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 SE HAWTHORNE BLVD # 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143640",
"telephone_number": "503-841-6460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE NINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-301-7187",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TeaScape",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.