Bernadette Elizabeth Carlson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24859 Issued in OR

Practice address

1017 SW Morrison St Ste 505
Portland, OR 97205-2630

Phone

(503) 406-0069

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1265149504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 N SYRACUSE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035068",
            "telephone_number": "503-573-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW MORRISON ST STE 505",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052630",
            "telephone_number": "503-406-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BERNADETTE",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Carlman
• Carlos Ceballos, MD
• Kristi Carlough, LMT
• Adrienne Marie Carlson, DPT
• Barbara Carlson, M.S.
• Bridget N Carlson, QMHA
• Callie Taylor Carlson
• Dustin Daniel Carlson, FNP
• Dustin M Carlson, M.D.
• Esther Carlson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.