Rachel Mehana Cordery, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16281 Issued in OR

Practice address

8070 SW Hall Blvd
Suite 100
Beaverton, OR 97008-6419

Phone

(503) 643-0156

Fax

(971) 732-5624

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rachel Mehana Larson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Greenway Chiropractic Clinic

  • Chiropractor
  • Beaverton, OR
  • NPI 1730442930
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1154557304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD.",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "503-643-0156",
            "fax_number": "971-732-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-643-0156",
            "fax_number": "971-732-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERY",
        "first_name": "RACHEL",
        "middle_name": "MEHANA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LARSON",
            "middle_name": "MEHANA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.