Active NPI
Christina M Mueller, L.M.T.
- Massage Therapist
- Lake Oswego, OR
National Provider Identifier
1386987485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13018
- Practice address
- 412 Jefferson Pkwy Ste 204
Lake Oswego, OR 97035-1251 - Phone
- (971) 245-6383
- Fax
- (503) 477-5865
- NPI assigned
- Mar 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13018 | OR | Primary |
Addresses
Primary practice location
412 Jefferson Pkwy Ste 204
Lake Oswego, OR 97035-1251
Mailing address
14200 SW Kimberly Dr
Beaverton, OR 97008
Phone (503) 504-0161
Other names 1
- Christina M Mitsche
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13018 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Bodyworks | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Lake Oswego, OR
- NPI 1720637978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1386987485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14200 SW KIMBERLY DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97008",
"telephone_number": "503-504-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 JEFFERSON PKWY STE 204",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970351251",
"telephone_number": "971-245-6383",
"fax_number": "503-477-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "MITSCHE",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.