Makai Massage & Spa, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

13064 Issued in OR

Legal business name

MAKAI MASSAGE & SPA, LLC

Practice address

3758 SE Milwaukie Ave
Portland, OR 97202-3805

Phone

(503) 752-0446

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Norton

Title

LMT

Phone

(503) 752-0446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Megan norton Doing business as

Tax ID family

Makai Massage Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Makai Massage & Spa

  • Preferred Provider Organization
  • Portland, OR
  • NPI 1679942007
  NPD tax ID

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1194195453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023805",
            "telephone_number": "503-752-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023805",
            "telephone_number": "503-752-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKAI MASSAGE & SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-752-0446",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "13064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1528331386",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Megan norton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Dewayne Majoy, BA
• Charles Eric Majuri, PH.D.
• Larry Wei Mak, M.D.
• Jina Tushar Makadia, M.D.
• Makai Massage & Spa
• Rosemary Raouf Makar, MBBCH
• Teardaad Makarachi, PA-C
• Bogdan Makartchuk
• Sherry Lynn Maki, RN
• Tristan Maki, OTR/L

• Preferred Provider Organization in Portland, OR
• Providers in Portland, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.