Sunny Wang Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SUNNY WANG MASSAGE LLC

Practice address

14455 SW Allen Blvd Ste 101
Beaverton, OR 97005-4428

Phone

(503) 683-3353

Fax

(972) 329-4668

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Lofgren

Title

Office Manager

Phone

(971) 217-8770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Yanmei Wang

  • Massage Therapist
  • Beaverton, OR
  • NPI 1376324590
  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1306692967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 NE 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111066",
            "telephone_number": "503-683-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 SW ALLEN BLVD STE 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054428",
            "telephone_number": "503-683-3353",
            "fax_number": "972-329-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY WANG MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "LOFGREN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "971-217-8770"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.