Individual provider Active NPI

Dana Yokum, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1215320932
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17948 Issued in OR
Practice address
3808 N Williams Ave
#133
Portland, OR 97227-1467
Phone
(503) 445-1188
Fax
(503) 445-1189
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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 17948 OR Primary

Addresses

Primary practice location

3808 N Williams Ave
#133
Portland, OR 97227-1467

Mailing address

3808 N Williams Ave
#133
Portland, OR 97227-1467
Phone (503) 445-1188

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
17948ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McMillan Chiropractic, LLC Past Accepting new patients
Renew Chiropractic, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1215320932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE",
            "address_2": "#133",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271467",
            "telephone_number": "503-445-1188",
            "fax_number": "503-445-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE",
            "address_2": "#133",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271467",
            "telephone_number": "503-445-1188",
            "fax_number": "503-445-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKUM",
        "first_name": "DANA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17948",
            "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 Mar 5, 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.