Active NPI
Rayna E Dorsey, LMT, LMP
- Massage Therapist
- Portland, OR
National Provider Identifier
1144477993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4419
- Practice address
- 1717 NE 42ND Ave
Suite 100a
Portland, OR 97213-1569 - Phone
- (503) 249-2824
- NPI assigned
- Aug 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4419 | OR | Primary |
Addresses
Primary practice location
1717 NE 42ND Ave
Suite 100a
Portland, OR 97213-1569
Mailing address
1717 NE 42ND Ave
Suite 100a
Portland, OR 97213-1569
Phone (503) 249-2824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4419 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1144477993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 NE 42ND AVE",
"address_2": "SUITE 100A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131569",
"telephone_number": "503-249-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 NE 42ND AVE",
"address_2": "SUITE 100A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131569",
"telephone_number": "503-249-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "RAYNA",
"middle_name": "E",
"credential": "LMT, LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-23",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "4419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.