Active NPI
Domnica Martushev
- Massage Therapist
- Lake Oswego, OR
National Provider Identifier
1184443723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27787
- Practice address
- 14535 Westlake Dr
Lake Oswego, OR 97035-7775 - Phone
- (503) 347-4286
- NPI assigned
- Oct 9, 2024
- Reactivated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27787 | OR | Primary |
Addresses
Primary practice location
14535 Westlake Dr
Lake Oswego, OR 97035-7775
Mailing address
5640 S Whiskey Hill Rd
Hubbard, OR 97032-9430
Phone (503) 729-7761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27787 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1184443723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 S WHISKEY HILL RD",
"city": "HUBBARD",
"state": "OR",
"postal_code": "970329430",
"telephone_number": "503-729-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 WESTLAKE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357775",
"telephone_number": "503-347-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTUSHEV",
"first_name": "DOMNICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"deactivation_date": "2025-01-14",
"reactivation_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.