NPIMap

Organization Active NPI

Amy Oldendorf

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1144770645
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16138 Issued in OR
Legal business name
AMY OLDENDORF
Practice address
4927 NE 30TH Ave
Portland, OR 97211-7007
Phone
(503) 281-0681
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Amy Oldendorf
Title
Massage Therapist
Phone
(518) 928-4098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 16138 OR Primary

Addresses

Primary practice location

4927 NE 30TH Ave
Portland, OR 97211-7007

Mailing address

4803 NE 30TH Ave
Portland, OR 97211-7005
Phone (518) 928-4098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1144770645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117005",
            "telephone_number": "518-928-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117007",
            "telephone_number": "503-281-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY OLDENDORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "OLDENDORF",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "518-928-4098"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16138",
            "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 Oct 7, 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.