Azalea Zen Massage LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AZALEA ZEN MASSAGE LLC

Practice address

1505 Water St NE Ste 2
Salem, OR 97301-6467

Phone

(971) 218-1694

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Maxine Valerie Trujillo, LMT#21038NPI 1689066250

Title

Licensed Massage Therapist

Phone

(971) 218-1694

Specialties & licenses 1

Addresses

Other names 1

• Azalea Zen Massage Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxine Valerie Trujillo, LMT#21038

  • Specialist
  • Salem, OR
  • NPI 1689066250
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1215799366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WATER ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016467",
            "telephone_number": "971-218-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WATER ST NE STE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016467",
            "telephone_number": "971-218-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Church St SE Ste Pa6-404",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973121001",
            "country_code": "US",
            "telephone_number": "971-218-1694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZALEA ZEN MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "971-218-1694",
        "authorized_official_credential": "LMT#21038"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Zen Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Sue Ayers
• Jane W Ayers, RNFA
• John Martin Ayers Jr., M.D.
• Meagan Ayoub, RD
• Maziar Azadpour, M.D.
• Lior Azen
• Mmesoma Jessica Azi, PHARMD
• Jacqueline Chinyere Azodoh, RPH
• Martina Babb
• Rodney Scott Babe, M.D.

• All providers in Salem, OR
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.