Corey Geffken LMP – Massage Therapist

Key facts

NPI: 1154794154
Entity type: Organization (NPI type 2)
Primary specialty: Massage Therapist 225700000X
License: 18694 (OR)
Legal business name: COREY GEFFKEN LMP
Practice address: 421 N Water St
Suite 102
Silverton, OR 97381-1645
Phone: (206) 321-6033
Fax: (503) 874-4478
NPI assigned: Nov 12, 2015
Organization subpart: No

Authorized official

Name: Coreyt Geffken, LMP
Title: Owner
Phone: (206) 321-6033

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Corey Geffken, LMT Mechanotherapist · Silverton, OR · NPI 1720451305

NPD (past) MECHANOTHERAPIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mechanotherapist Group: 193200000X MULTI-SPECIALTY GROUP	172M00000X	MA00010746	WA
Massage Therapist Group: 193200000X MULTI-SPECIALTY GROUP	225700000X	18694	OR	Yes

Addresses

Primary practice location

421 N Water St
Suite 102
Silverton, OR 97381-1645

Mailing address

345 Westfield St
Suite 102
Silverton, OR 97381-1936
Phone (206) 321-6033

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2015.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1154794154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WESTFIELD ST",
            "address_2": "SUITE 102",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811936",
            "telephone_number": "206-321-6033",
            "fax_number": "503-874-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N WATER ST",
            "address_2": "SUITE 102",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811645",
            "telephone_number": "206-321-6033",
            "fax_number": "503-874-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY GEFFKEN LMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "GEFFKEN",
        "authorized_official_first_name": "COREYT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-321-6033",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00010746",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

All providers in Silverton, OR · Massage Therapist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.