Organization Active NPI

Waywest Massage

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1366994733
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18140 Issued in OR
Legal business name
WAYWEST MASSAGE
Practice address
510 NE Dekum St
Portland, OR 97211-2926
Phone
(541) 953-1051
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Miranda Morehouse, LMT
Title
Owner
Phone
(541) 953-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 18140 OR Primary

Addresses

Primary practice location

510 NE Dekum St
Portland, OR 97211-2926

Mailing address

510 NE Dekum St
Portland, OR 97211-2926

National Provider Directory

National Provider Directory

Locations

510 NE Dekum St
Portland, OR 97211
Phone (503) 781-3886

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": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1366994733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NE DEKUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NE DEKUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112926",
            "telephone_number": "541-953-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYWEST MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MOREHOUSE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-953-1051",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18140",
            "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 Nov 1, 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.