NPIMap

Organization Active NPI

Stillwater Spa & Wellness Center

  • Specialist
  • Klamath Falls, OR
National Provider Identifier
1124473798
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21988 Issued in OR
Legal business name
STILLWATER SPA & WELLNESS CENTER
Practice address
1775 Washburn Way
Suite a
Klamath Falls, OR 97603-4304
Phone
(541) 887-2507
Fax
(541) 887-2508
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Holen D Armstrong
Title
Owner
Phone
(541) 887-2507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 21988 OR Primary

Addresses

Primary practice location

1775 Washburn Way
Suite a
Klamath Falls, OR 97603-4304

Mailing address

1775 Washburn Way
Suite a
Klamath Falls, OR 97603-4304
Phone (541) 887-2507

National Provider Directory

National Provider Directory
Tax ID family
Stillwater Spa Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1775 Washburn Way
Ste A
Klamath Falls, OR 97603
Phone (541) 887-2507

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1124473798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WASHBURN WAY",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034304",
            "telephone_number": "541-887-2507",
            "fax_number": "541-887-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WASHBURN WAY",
            "address_2": "SUITE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034304",
            "telephone_number": "541-887-2507",
            "fax_number": "541-887-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER SPA & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "HOLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-887-2507"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "21988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.