NPIMap

Organization Active NPI

Cypress Beauty & Wellness

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1407279284
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19575 Issued in OR
Legal business name
CYPRESS BEAUTY & WELLNESS
Practice address
1616 SE Bybee Blvd
Portland, OR 97202-5715
Phone
(503) 236-4654
Fax
(503) 236-8224
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Elizabeth Cole, LAC, LMT
Title
Co-Owner
Phone
(503) 236-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 19575 OR Primary

Addresses

Primary practice location

1616 SE Bybee Blvd
Portland, OR 97202-5715

Mailing address

1616 SE Bybee Blvd
Portland, OR 97202-5715
Phone (503) 236-4654

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1407279284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025715",
            "telephone_number": "503-236-4654",
            "fax_number": "503-236-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025715",
            "telephone_number": "503-236-4654",
            "fax_number": "503-236-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS BEAUTY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-236-4654",
        "authorized_official_credential": "LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19575",
            "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 Jan 29, 2014; 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.