Active NPI
Martha G Lange, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1245476001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14177
- Practice address
- 2303 E Burnside St
Portland, OR 97214-1655 - Phone
- (503) 287-7733
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 14177 | OR | Primary |
Addresses
Primary practice location
2303 E Burnside St
Portland, OR 97214-1655
Mailing address
3942 NE 8TH Ave
Portland, OR 97212-1205
Phone (503) 729-1460
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 |
|---|---|---|---|
| 14177 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling on Burnside | Past | Accepting new patients | |
| Dyson Enterprises Inc | 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.
-
- Clinical Social Worker
- Portland, OR
- NPI 1447521604
-
- Chiropractor
- Portland, OR
- NPI 1508037045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1245476001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3942 NE 8TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121205",
"telephone_number": "503-729-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141655",
"telephone_number": "503-287-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "MARTHA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14177",
"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 Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.