Individual provider Active NPI

Marisol Rascon

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1417402264
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
48941 Issued in CA
Practice address
2800 E Evergreen Blvd Ste a
Vancouver, WA 98661-4979
Phone
(626) 423-8561
NPI assigned
Aug 22, 2016
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 48941 CA Primary

Addresses

Primary practice location

2800 E Evergreen Blvd Ste a
Vancouver, WA 98661-4979

Mailing address

1909 E 6TH St Apt a
Vancouver, WA 98661-4276
Phone (626) 423-8561

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
48941CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Integrative CurrentSince Jul 1, 2023 Accepting new patients

Locations

100 E 19th St
Ste 500
Vancouver, WA 98663
Phone (360) 313-6465

2800 E Evergreen Blvd
Ste A
Vancouver, WA 98661
Phone (626) 423-8561

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1417402264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E 6TH ST APT A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614276",
            "telephone_number": "626-423-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E EVERGREEN BLVD STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614979",
            "telephone_number": "626-423-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCON",
        "first_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "48941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.