Individual provider Active NPI

Valora Mae Villalon, LMT

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1215129101
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11065 Issued in OR
Practice address
245 SE 4TH Ave
Ste G
Hillsboro, OR 97123-4033
Phone
(503) 681-9673
Fax
(503) 844-4093
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 11065 OR Primary

Addresses

Primary practice location

245 SE 4TH Ave
Ste G
Hillsboro, OR 97123-4033

Mailing address

245 SE 4TH Ave
Ste G
Hillsboro, OR 97123-4033
Phone (503) 681-9673

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

LicenseStateTypeSpecialty
11065ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1215129101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SE 4TH AVE",
            "address_2": "STE G",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234033",
            "telephone_number": "503-681-9673",
            "fax_number": "503-844-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SE 4TH AVE",
            "address_2": "STE G",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234033",
            "telephone_number": "503-681-9673",
            "fax_number": "503-844-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "VALORA",
        "middle_name": "MAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.