Gwen Manlove Esthetician & Massage Therapist

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18880 Issued in OR

Legal business name

GWEN MANLOVE ESTHETICIAN & MASSAGE THERAPIST

Practice address

2025 SE Jefferson St # 103
Milwaukie, OR 97222-7605

Phone

(503) 679-9144

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwenel Manlove, 18880

Title

Owner

Phone

(503) 679-9144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1255888616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SE JEFFERSON ST # 103",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227605",
            "telephone_number": "503-679-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SE JEFFERSON ST # 103",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227605",
            "telephone_number": "503-679-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN MANLOVE ESTHETICIAN & MASSAGE THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "MANLOVE",
        "authorized_official_first_name": "GWENEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-679-9144",
        "authorized_official_credential": "18880"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Vela Gunter, AA PHYSICAL THERAPIS
• Francis John Gurnee Jr., PT
• Nicole Gurule, RN, BSN
• Lucas Gustilo
• Steven P. Gutendorf, LMT
• Timothy Haas
• Kathryn L Hackenyos, PHYSICAL THERAPIST
• Edward Allan Hacmac, D.C.
• Sammie Lillian Dean Haddad-Scott
• Sheva Elizabeth Hafizi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.