Vanessa Ann Huntley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12663 Issued in OR

Practice address

3279 SE Hawthorne Blvd BSMT
Portland, OR 97214-5044

Phone

(503) 358-8717

Fax

(503) 358-8717

NPI assigned

Oct 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205025087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 N BERKELEY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972036013",
            "telephone_number": "503-358-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 SE HAWTHORNE BLVD BSMT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145044",
            "telephone_number": "503-358-8717",
            "fax_number": "503-358-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321569",
            "country_code": "US",
            "telephone_number": "503-358-8717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Anne Hunter, PA-C
• Kathleen Louise Huntington, RD
• Pamela Huntington
• Norbert Edwin Andrew Huntley, D.C.
• Sonia Huntley, M.D.
• Karli Hunton, MS, RDN
• Colleen Eliza Nasreen Huntwork, RN, FNP
• Alexis Hurbert
• Rolanda Brianna Hurbert
• Ashleigh Hurd, RNFA

• 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 Mar 17, 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.