Active NPI
Heather Sky Bjorndal, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1265958714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20169
- Practice address
- 5424 SE 82ND Ave
Portland, OR 97266-4811 - Phone
- (503) 477-8720
- NPI assigned
- Aug 16, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20169 | OR | Primary |
Addresses
Primary practice location
5424 SE 82ND Ave
Portland, OR 97266-4811
Mailing address
13906 SE 18TH Cir Apt 9
Vancouver, WA 98683-4711
Phone (971) 264-4203
Other practice location 1
4655 SW Griffith Dr Ste 180
Beaverton, OR 97005-8732
Phone (503) 746-5214
Other names 1
- Miss Heather Sky Lee
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 |
|---|---|---|---|
| 20169 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conerstone Chiropractic PS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba OREGON CS Chiropractic
- Clinic/Center
- Beaverton, OR
- NPI 1609321157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265958714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13906 SE 18TH CIR APT 9",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986834711",
"telephone_number": "971-264-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 SE 82ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972664811",
"telephone_number": "503-477-8720"
}
],
"practiceLocations": [
{
"address_1": "4655 SW Griffith Dr Ste 180",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970058732",
"country_code": "US",
"telephone_number": "503-746-5214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BJORNDAL",
"first_name": "HEATHER",
"middle_name": "SKY",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "LEE",
"middle_name": "SKY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.