Active NPI
Joel Janson, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1407353022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18502
- Practice address
- 118 N Killingsworth St
Portland, OR 97217-2435 - Phone
- (503) 288-4454
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 18502 | OR | Primary |
Addresses
Primary practice location
118 N Killingsworth St
Portland, OR 97217-2435
Mailing address
3140 N Willis Blvd
Portland, OR 97217-6146
Phone (971) 284-6267
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 |
|---|---|---|---|
| 18502 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Life Clinic LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1407353022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 N WILLIS BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972176146",
"telephone_number": "971-284-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972172435",
"telephone_number": "503-288-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSON",
"first_name": "JOEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18502",
"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 Apr 10, 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.