Rolfing Portland Oregon, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10315 Issued in OR

Legal business name

ROLFING PORTLAND OREGON, LLC

Practice address

4031 SE Hawthorne Blvd
Portland, OR 97214-5243

Phone

(503) 280-5665

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Benjamin E Eichenauer, L.M.T.

Title

Owner

Phone

(503) 280-5665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1285883124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-280-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-280-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLFING PORTLAND OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "EICHENAUER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-280-5665",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Roland
• Lianne Roland
• Nathaniel Roland, O.D.
• Tarasa Roland, CSWA
• Sierra Roles, RN
• Alexander Joseph Roll
• John D Roll, MD
• Todd Alexander Roll
• Steven Brent Rolland, LMT
• Matthew Kai Roller, LCSW

• 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 Sep 16, 2008; 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.