Active NPI
Valencia Arciniega, LMT
- Massage Therapist
- Lake Oswego, OR
National Provider Identifier
1295214609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19650
- Practice address
- 311 B Ave Ste W
Lake Oswego, OR 97034-3071 - Phone
- (503) 781-1750
- NPI assigned
- Aug 8, 2018
- Last updated
- Sep 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19650 | OR | Primary |
Addresses
Primary practice location
311 B Ave Ste W
Lake Oswego, OR 97034-3071
Mailing address
1252 Vista Oaks Dr
Forest Grove, OR 97116-3091
Phone (503) 929-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19650 | Other | OR | STATE OF OREGON LICENSE |
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 |
|---|---|---|---|
| 19650 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1295214609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 VISTA OAKS DR",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971163091",
"telephone_number": "503-929-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 B AVE STE W",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343071",
"telephone_number": "503-781-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCINIEGA",
"first_name": "VALENCIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON LICENSE",
"identifier": "19650",
"state": "OR"
}
],
"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 Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.