Meridian Medical Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20033 Issued in OR

Legal business name

MERIDIAN MEDICAL MASSAGE

Practice address

3863 SW Hall Blvd
Suite B
Beaverton, OR 97005-2042

Phone

(541) 944-1989

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Maddy Chavez, LMT

Title

Owner

Phone

(503) 446-0698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1316301237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 SW HALL BLVD",
            "address_2": "SUITE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052042",
            "telephone_number": "541-944-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 SW HALL BLVD",
            "address_2": "SUITE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052042",
            "telephone_number": "541-944-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MADDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-446-0698",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20033",
            "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 Aug 17, 2016; 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.