NPIMap

Organization Active NPI

Gresham Therapeutic Massage Center

  • Specialist
  • Gresham, OR
National Provider Identifier
1144637448
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18265 Issued in OR
Legal business name
GRESHAM THERAPEUTIC MASSAGE CENTER
Practice address
1748 NW Fairview Dr
Gresham, OR 97030-3842
Phone
(503) 492-3910
Fax
(503) 674-6706
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Heather Hoard
Title
Owner
Phone
(503) 492-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 18265 OR Primary

Addresses

Primary practice location

1748 NW Fairview Dr
Gresham, OR 97030-3842

Mailing address

1748 NW Fairview Dr
Gresham, OR 97030-3842
Phone (503) 492-3910

Other identifiers 1

IdentifierTypeStateIssuer
1223OtherORAUTO AND MEDICAL INSURANCE

National Provider Directory

National Provider Directory
Tax ID family
Gresham Therapeutic Massage Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1144637448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 NW FAIRVIEW DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303842",
            "telephone_number": "503-492-3910",
            "fax_number": "503-674-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NW FAIRVIEW DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303842",
            "telephone_number": "503-492-3910",
            "fax_number": "503-674-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM THERAPEUTIC MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "HOARD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-492-3910"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO AND MEDICAL INSURANCE",
            "identifier": "1223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.