Organization Active NPI

Roses Thorn Electrology Group LLC

Doing business as Roses Thorn Electrology Group

  • Specialist
  • Portland, OR
National Provider Identifier
1275331605
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROSES THORN ELECTROLOGY GROUP LLC
Doing business as
Roses Thorn Electrology Group
Practice address
80 SE Madison St Ste 306
Portland, OR 97214-4527
Phone
(503) 660-8468
NPI assigned
Mar 3, 2025
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Max L Lavallee, LENPI 1134999527
Title
Licensed Electrologist
Phone
(503) 676-4799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

80 SE Madison St Ste 306
Portland, OR 97214-4527

Mailing address

416 SE 34TH Cir
Troutdale, OR 97060-4505
Phone (503) 676-4799

Other practice location 1

1954 SE 182nd Ave # 201
Portland, OR 97233-5602
Phone (503) 660-8468

Other names 1

  • ROSES THORN ELECTROLOGY GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1954 SE 182nd Ave
#201
Portland, OR 97233

80 SE Madison St
Ste 306
Portland, OR 97214
Phone (503) 660-8468

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1275331605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SE 34TH CIR",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970604505",
            "telephone_number": "503-676-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 306",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "503-660-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1954 SE 182nd Ave # 201",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972335602",
            "country_code": "US",
            "telephone_number": "503-660-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSES THORN ELECTROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "LAVALLEE",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED ELECTROLOGIST",
        "authorized_official_telephone_number": "503-676-4799",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSES THORN ELECTROLOGY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2026; 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.