Cameron Glass, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25044 Issued in OR

Practice address

820 Crater Lake Ave Ste 113
Medford, OR 97504-6581

Phone

(541) 770-1606

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Wellness NW

  • Massage Therapist
  • Medford, OR
  • NPI 1740661636
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1265058531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 APACHE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975019602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CRATER LAKE AVE STE 113",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046581",
            "telephone_number": "541-770-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CAMERON",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Douglas Ginn, MA
• Lori Girodat
• Shasta Gish, CADC I
• Ayo A Glanton
• Amber Glanz
• Rawland D Glass, MSW LCSW
• Hayden Avery Glatte, MD
• Glenn F. Gumaer, DC, LLC
• Cheyenne Glenn
• Shelby Renee Glenn, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.