NPIMap

Organization Active NPI

Balance Therapeutic Massage and Core Fitness Studio, LLC

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1306086350
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14779 Issued in OR
Legal business name
BALANCE THERAPEUTIC MASSAGE AND CORE FITNESS STUDIO, LLC
Practice address
238 SE 2ND Ave
Hillsboro, OR 97123-4017
Phone
(503) 358-3385
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Ms. Lisa Ann Bourlon, LMTNPI 1891933289
Title
Owner
Phone
(503) 358-3385

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
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 14779 OR Primary

Addresses

Primary practice location

238 SE 2ND Ave
Hillsboro, OR 97123-4017

Mailing address

13345 SW Brightwood St
Beaverton, OR 97005-1222
Phone (503) 358-3385

National Provider Directory

National Provider Directory
Tax ID family
Active Chiropracticbalance Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

238 SE 2nd Ave
Hillsboro, OR 97123
Phone (503) 358-3385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1306086350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 SW BRIGHTWOOD ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051222",
            "telephone_number": "503-358-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SE 2ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234017",
            "telephone_number": "503-358-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE THERAPEUTIC MASSAGE AND CORE FITNESS STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "BOURLON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-358-3385",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.