Active NPI
Heather Green-Bostwick, L.M.T.
- Specialist
- Lake Oswego, OR
National Provider Identifier
1265820690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19356
- Practice address
- 4201 Chapman Way
Lake Oswego, OR 97035-5562 - Phone
- (503) 954-0580
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19356 | OR | |
| Specialist | 174400000X | 19356 | OR | Primary |
Addresses
Primary practice location
4201 Chapman Way
Lake Oswego, OR 97035-5562
Mailing address
4201 Chapman Way
Lake Oswego, OR 97035-5562
Phone (503) 954-0580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19356 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1265820690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CHAPMAN WAY",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355562",
"telephone_number": "503-954-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CHAPMAN WAY",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355562",
"telephone_number": "503-954-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN-BOSTWICK",
"first_name": "HEATHER",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19356",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "19356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.