NPIMap

Organization Active NPI

Clare Katner LLC Dba East Bridge Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1164068490
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CLARE KATNER LLC DBA EAST BRIDGE MASSAGE
Practice address
2311 E Burnside St Ste 100
Portland, OR 97214-1655
Phone
(503) 314-9297
Fax
(971) 319-2195
NPI assigned
Nov 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Wendi Sharp, MSOL
Title
Clinic Manager
Phone
(971) 263-4492

Specialties & licenses 1

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

Addresses

Primary practice location

2311 E Burnside St Ste 100
Portland, OR 97214-1655

Mailing address

2311 E Burnside St Ste 100
Portland, OR 97214-1655
Phone (503) 314-9297

National Provider Directory

National Provider Directory

Locations

2311 E Burnside St
Ste 100
Portland, OR 97214
Phone (503) 309-7899

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1164068490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 E BURNSIDE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141655",
            "telephone_number": "503-314-9297",
            "fax_number": "971-319-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E BURNSIDE ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141655",
            "telephone_number": "503-314-9297",
            "fax_number": "971-319-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE KATNER LLC DBA EAST BRIDGE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "971-263-4492",
        "authorized_official_credential": "MSOL"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Nov 21, 2019; 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.