NPIMap

Organization Active NPI

West Portland Therapeutic Massage LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1124745500
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WEST PORTLAND THERAPEUTIC MASSAGE LLC
Practice address
9045 SW Barbur Blvd Ste 109
Portland, OR 97219-4027
Phone
(503) 662-8098
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Jessica Lynn John, LMTNPI 1669137816
Title
Owner
Phone
(503) 320-6305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

9045 SW Barbur Blvd Ste 109
Portland, OR 97219-4027

Mailing address

7720 S Macadam Ave Apt 10
Portland, OR 97219-3000
Phone (503) 320-6305

Other names 2

  • West PDX Massage Doing business as
  • West Portland Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

9045 SW Barbur Blvd
Ste 109
Portland, OR 97219
Phone (503) 662-8098

Practitioners & affiliated clinicians

Practitioners 2

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1124745500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S MACADAM AVE APT 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193000",
            "telephone_number": "503-320-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW BARBUR BLVD STE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194027",
            "telephone_number": "503-662-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PORTLAND THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-320-6305",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West PDX Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Portland Therapeutic Massage",
            "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 Oct 26, 2022; 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.