Active NPI
Elizabeth Robyn McLain, LMP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1154483279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00021289
- Practice address
- 205 E 11TH St
Ste LL1
Vancouver, WA 98660-3200 - Phone
- (360) 905-0101
- Fax
- (360) 735-7330
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00021289 | WA | Primary |
| Massage Therapist | 225700000X | 11103 | OR |
Addresses
Primary practice location
205 E 11TH St
Ste LL1
Vancouver, WA 98660-3200
Mailing address
717 NE 61St St
#202
Vancouver, WA 98665-8753
Phone (360) 905-0101
Other names 1
- Miss Elizabeth Robyn Brame
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 |
|---|---|---|---|
| 11103 | OR | MD | Massage Therapist |
| MA00021289 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1154483279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 NE 61ST ST",
"address_2": "#202",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658753",
"telephone_number": "360-905-0101",
"fax_number": "360-735-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 11TH ST",
"address_2": "STE LL1",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603200",
"telephone_number": "360-905-0101",
"fax_number": "360-735-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "ELIZABETH",
"middle_name": "ROBYN",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00021289",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BRAME",
"middle_name": "ROBYN",
"prefix": "MISS",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 1, 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.