Active NPI
Sheng Moua
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1144580218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60261701
- Practice address
- 1104 Main St
Suite M105
Vancouver, WA 98660-2999 - Phone
- (360) 450-3889
- Fax
- (360) 450-3887
- NPI assigned
- May 23, 2012
- 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 | MA60261701 | WA | Primary |
Addresses
Primary practice location
1104 Main St
Suite M105
Vancouver, WA 98660-2999
Mailing address
317 SW 37TH Ter
Gresham, OR 97080-8441
Phone (971) 285-6745
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 |
|---|---|---|---|
| MA60261701 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1144580218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 SW 37TH TER",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970808441",
"telephone_number": "971-285-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 MAIN ST",
"address_2": "SUITE M105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986602999",
"telephone_number": "360-450-3889",
"fax_number": "360-450-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUA",
"first_name": "SHENG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60261701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.