Eugenie Lee Powell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18105 Issued in OR

Practice address

2706 SE 75TH Ave
Portland, OR 97206-1854

Phone

(503) 709-0253

Fax

(503) 788-7649

NPI assigned

Sep 13, 2012

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

• Genie Lee Powell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1164772422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061854",
            "telephone_number": "503-709-0253",
            "fax_number": "503-788-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SE 75TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061854",
            "telephone_number": "503-709-0253",
            "fax_number": "503-788-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "EUGENIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENIE",
            "last_name": "POWELL",
            "middle_name": "LEE",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alice Karlin Powell, MA CLINICAL SOC WORK
• Ashley Powell
• Carolyn Powell, LPC
• Clair Powell, DPT
• Constance Anne Powell, MD
• Jack Powell
• James N Powell, M.D.
• Jenice A Powell, RDN
• Jesse M Powell, MD
• Jill Virginia Powell, QMHA

• Massage Therapist in Portland, OR
• Providers in Portland, 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 13, 2012; 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.