Individual provider Active NPI

Clayton Stuhr, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1346734100
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21652 Issued in OR
Practice address
1416 SE 8TH Ave
Portland, OR 97214-3537
Phone
(503) 314-9297
Fax
(971) 319-2195
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21652 OR Primary

Addresses

Primary practice location

1416 SE 8TH Ave
Portland, OR 97214-3537

Mailing address

1416 SE 8TH Ave
Portland, OR 97214-3537
Phone (503) 314-9297

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

LicenseStateTypeSpecialty
21652ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fine Tune Massage PDX Massage Therapist Current Accepting new patients
Clare Katner LLC Dba East Bridge Massage Massage Therapist PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1346734100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143537",
            "telephone_number": "503-314-9297",
            "fax_number": "971-319-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143537",
            "telephone_number": "503-314-9297",
            "fax_number": "971-319-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHR",
        "first_name": "CLAYTON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.