Amy Elizabeth Mixon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18915 Issued in OR

Practice address

6519 SE Milwaukie Ave
#202
Portland, OR 97202-5519

Phone

(352) 359-2910

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1285758193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SE STEVENS RD",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867560",
            "telephone_number": "352-359-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 SE MILWAUKIE AVE",
            "address_2": "#202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025519",
            "telephone_number": "352-359-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA27626",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Supratik Mittra, M.D., PH.D.
• Barbara Mitzkowski
• Lisa Noelle Miura, M.D.
• Jennifer L. Mix, LPC
• Melanie Grace Mix, PAC
• Mary Louise Miyakawa, LCSW
• George Miyake Jr., L.M.T.
• Jodie Mariko Miyamoto, DPT
• Lisa Cathleen Miyamoto
• Mika Miyamoto, DMD

• 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 27, 2013; 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.