Powerfull Touch Body Work

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

POWERFULL TOUCH BODY WORK

Practice address

10001 SE Sunnyside Rd.
Clackamas, OR 97015

Phone

(503) 810-6436

Fax

(503) 419-6200

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Sergei Sergeevich Kravchenko Sr., LMT

Title

President

Phone

(503) 810-6436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1407519192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 SW CLEARVIEW WAY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-810-6436",
            "fax_number": "503-419-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD.",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-810-6436",
            "fax_number": "503-419-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERFULL TOUCH BODY WORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "KRAVCHENKO",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_middle_name": "SERGEEVICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-810-6436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.