Joachim Creten, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20805 Issued in OR

Practice address

1211 NW Glisan St Ste 205
Portland, OR 97209-3054

Phone

(503) 515-1023

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benestar 713 Inc

  • Massage Therapist
  • Portland, OR
  • NPI 1114490406
  NPD (past) Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1194294199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-515-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-515-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETEN",
        "first_name": "JOACHIM",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Joseph Cressler Jr., LPC, CST
• Creston SNF Healthcare LLC
• Crestview Operations, LLC
• Crestview Recovery Services, LLC
• Emily Creswick, LPN
• Kaecee Creveling, L.AC., MACOM
• Jacob E. Creviston, DNP, RN, PMHNP-BC
• Criag W. Calhoun MD PC
• Michaela Leanne Cribb, NP
• Lindsey Crider, RN, BSN

• 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 Nov 19, 2018; 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.