NPIMap

Organization Active NPI

Cortez Natural Medicine, Inc.

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1255785796
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22205 Issued in OR
Legal business name
CORTEZ NATURAL MEDICINE, INC.
Practice address
2230 NW Pettygove Street
Unit 130
Portland, OR 97210
Phone
(971) 386-2930
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mitsuko Ishimaru Cortez, N.D., L.AC
Title
President
Phone
(971) 386-2930

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC174749 OR
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 22205 OR Primary

Addresses

Primary practice location

2230 NW Pettygove Street
Unit 130
Portland, OR 97210

Mailing address

2230 NW Pettygove Street
Unit 130
Portland, OR 97210
Phone (971) 386-2930

Other identifiers 3

IdentifierTypeStateIssuer
1609247899OtherORLAC
1689070534OtherCAMASSAGE THERAPIST
1912251059OtherCAND, LAC

Other names 1

  • Stillpoint Wellness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1255785796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGOVE STREET",
            "address_2": "UNIT 130",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "971-386-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGOVE STREET",
            "address_2": "UNIT 130",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "971-386-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ NATURAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "MITSUKO",
        "authorized_official_middle_name": "ISHIMARU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-386-2930",
        "authorized_official_credential": "N.D., L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC174749",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "1609247899",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "1689070534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND, LAC",
            "identifier": "1912251059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stillpoint Wellness Center",
            "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 Apr 21, 2016; 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.