Body & Face LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13354 Issued in OR

Legal business name

BODY & FACE LLC

Practice address

15455 NW Greenbrier Pkwy
Suite 120
Beaverton, OR 97006-7374

Phone

(503) 888-5082

Fax

(971) 256-9922

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Zawadzki, LMT

Title

Owner, Agent

Phone

(503) 888-5082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1245771369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 NW 185TH AVE",
            "address_2": "1001",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247076",
            "telephone_number": "503-888-5082",
            "fax_number": "971-256-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-888-5082",
            "fax_number": "971-256-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & FACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "ZAWADZKI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER, AGENT",
        "authorized_official_telephone_number": "503-888-5082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.