Organization Active NPI

Equilibria LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1245497791
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
661684 Issued in OR
Legal business name
EQUILIBRIA LLC
Doing business as
Equilibria Massage
Practice address
1536 NW 23Rd Ave
Second Floor
Portland, OR 97210-2618
Phone
(503) 221-2155
Fax
(503) 274-4159
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Jennifer M Bode, LMT
Title
LMT
Phone
(503) 221-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 661684 OR Primary

Addresses

Primary practice location

1536 NW 23Rd Ave
Second Floor
Portland, OR 97210-2618

Mailing address

1536 NW 23Rd Ave
Second Floor
Portland, OR 97210-2618
Phone (503) 221-2155

Other names 1

  • Equilibria Massage Doing business as

National Provider Directory

National Provider Directory

Locations

1536 NW 23rd Ave
Fl Second
Portland, OR 97210
Phone (503) 221-2155

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1245497791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 NW 23RD AVE",
            "address_2": "SECOND FLOOR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102618",
            "telephone_number": "503-221-2155",
            "fax_number": "503-274-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 NW 23RD AVE",
            "address_2": "SECOND FLOOR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102618",
            "telephone_number": "503-221-2155",
            "fax_number": "503-274-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BODE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-221-2155",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "661684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equilibria Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2008; 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.