Active NPI
Carlee Michelle Gehrke
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1255571352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12793
- Practice address
- 15282 SW Teal Blvd
Beaverton, OR 97007-8129 - Phone
- (503) 200-0557
- NPI assigned
- Mar 2, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12793 | OR | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
15282 SW Teal Blvd
Beaverton, OR 97007-8129
Mailing address
13020 SW Creekshire Dr
Tigard, OR 97223-5726
Phone (503) 200-0557
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 |
|---|---|---|---|
| 12793 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1255571352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 SW CREEKSHIRE DR",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235726",
"telephone_number": "503-200-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15282 SW TEAL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078129",
"telephone_number": "503-200-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHRKE",
"first_name": "CARLEE",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "12793",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.