Dragonfly Massge LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11893 Issued in OR

Legal business name

DRAGONFLY MASSGE LLC

Practice address

1548 E 1St St
Newberg, OR 97132-3237

Phone

(503) 740-2162

Fax

(503) 538-5353

NPI assigned

Aug 1, 2012

Last updated

Aug 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly L Hawes, LMT

Title

Owner

Phone

(503) 740-2162

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1336495894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-740-2162",
            "fax_number": "503-538-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-740-2162",
            "fax_number": "503-538-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY MASSGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "HAWES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-740-2162",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Michelle Donart, SLP
• Todd Doyle, MD
• Dr. Marsha a. Green, L.L.C.
• Dr. Mojica Therapy LLC
• James Rollin Draeger, L.P.C.
• Garrett Drake
• Susanna Lyn Dube, PHARM D
• Carol Dugan, LPC I
• Claire Elizabeth Duisenberg
• Brian Richard Duncan, M.D.

• Health Maintenance Organization in Newberg, OR
• Providers in Newberg, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.