Henry Carpenter Fortuna, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27508 Issued in OR

Practice address

2505 SW Spring Garden St Ste 100
Portland, OR 97219-3966

Phone

(503) 841-6222

NPI assigned

Mar 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

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.

• D'Vida Injury Clinic & Wellness Center LLC

  • Chiropractor
  • Beaverton, OR
  • NPI 1861754517
  NPD (past)
• Therapia P.C.

  dba Therapia Wellness Clinic

  • Acupuncturist
  • Portland, OR
  • NPI 1861791170

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1396446357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 S KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SW SPRING GARDEN ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193966",
            "telephone_number": "503-841-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER FORTUNA",
        "first_name": "HENRY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Levie Caron, MD
• Andrew Caroon, DC, MS
• Elyssia Ann Caropreso
• David Norman Carothers, DDS
• Roy John Carothers
• Leanette Ann Carpenter-Levin
• Adriana Valle Carpenter, R.D.H.
• Ashley H. Carpenter, PT
• Brandy Masters Carpenter, RN
• Brian James Carpenter, DO

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.