Evexia, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EVEXIA, LLC

Practice address

9123 SE Saint Helens St Ste 100a
Clackamas, OR 97015-6800

Phone

(503) 482-2122

NPI assigned

Jul 7, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Marie Drakulich, LMTNPI 1447812706

Title

Owner/LMT

Phone

(503) 482-2122

Specialties & licenses 2

Addresses

Other names 1

• Dorizata Massage Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Marie Drakulich, LMT

  • Massage Therapist
  • Clackamas, OR
  • NPI 1447812706
  NPD Authorized official
• Michael E Kistler, LMT

  • Massage Therapist
  • Clackamas, OR
  • NPI 1609438969
  NPD

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562457600000",
    "number": "1265094528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST # 1001A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156858",
            "telephone_number": "503-482-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 100A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156800",
            "telephone_number": "503-482-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEXIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A",
        "authorized_official_last_name": "DRAKULICH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "503-482-2122",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dorizatamassage@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9123 SE Saint Helens St Ste 100A",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970156800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dorizata Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.