Active NPI
Michele Marie Wren, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1215214481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7937
- Practice address
- 5308 SE Rhone St
Portland, OR 97206-2962 - Phone
- (503) 775-6885
- NPI assigned
- Nov 15, 2011
- 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 | 7937 | OR | Primary |
Addresses
Primary practice location
5308 SE Rhone St
Portland, OR 97206-2962
Mailing address
930 Cumberland Rd
Lake Oswego, OR 97034-1730
Phone (503) 730-2869
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 |
|---|---|---|---|
| 7937 | OR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Wren | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Portland, OR
- NPI 1619394079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1215214481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 CUMBERLAND RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970341730",
"telephone_number": "503-730-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 SE RHONE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062962",
"telephone_number": "503-775-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "7937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.