Eric Hoan Vaulte

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25134 Issued in OR

Practice address

18676 SW Boones Ferry Rd
Tualatin, OR 97062-8435

Phone

(971) 404-1736

NPI assigned

Sep 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Eric Anthony Vu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Go to the Zone Wellness

  • Massage Therapist
  • Tualatin, OR
  • NPI 1629893615
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1144992199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 SW AUDUBON ST UNIT 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970037798",
            "telephone_number": "503-803-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 SW BOONES FERRY RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628435",
            "telephone_number": "971-404-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAULTE",
        "first_name": "ERIC",
        "middle_name": "HOAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "VU",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey C Unrau, MD
• Brock Van Gordon, D.M.D.
• Michael R Vanallen, M D P C
• Erik James Vankleek, MD
• Melissa Vansant, LPC
• Monique Vega
• Nalini Velayudhan, DO
• Venacare NW
• Michelle Bleynat Vessely, M.D
• Harold G Vick, MD

• Massage Therapist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.