Gary L. Wass

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5633 Issued in OR

Legal business name

GARY L. WASS

Doing business as

Tai Chi For Life

Practice address

2929 SW Multnomah Blvd Ste 207
Portland, OR 97219-4072

Phone

(509) 240-6989

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Gary Leroy Wass, LMTNPI 1023221728

Title

Owner

Phone

(509) 240-6989

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tai Chi For Life Doing business as

Locations

Practitioners 1

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

• Gary Leroy Wass, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1023221728
  NPD (past) Authorized official

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1184022162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194072",
            "telephone_number": "509-240-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SW MULTNOMAH BLVD STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194072",
            "telephone_number": "509-240-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. WASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "WASS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-240-6989",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5633",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LISCENCE",
            "identifier": "5633",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LISCENCE",
            "identifier": "MA00016138",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tai Chi For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Tucker Garvey, M.D.
• Scott Anthony Garvey, M.D.
• Maryanne B. Garvie-Loveland, MD
• Aftyn Garvin
• Shane Joseph Garvin
• Gary Laclair Inc
• Gary M. Smith, M.D. P.C.
• Gary S Hongo DMD, LLC
• Christopher Scott Gary, PTA
• Elizabeth Susan Gary, CNM

• 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 Dec 8, 2014; 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.