Organization Active NPI

Intermission Massage Studio

  • Massage Therapist
  • West Linn, OR
National Provider Identifier
1427757822
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
INTERMISSION MASSAGE STUDIO
Practice address
1880 Willamette Falls Dr Ste 260
West Linn, OR 97068-4654
Phone
(503) 701-7714
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Melinda G Apodaca, LMTNPI 1053359521
Title
Owner/Licensed Massage Therapist
Phone
(503) 701-7714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1880 Willamette Falls Dr Ste 260
West Linn, OR 97068-4654

Mailing address

1880 Willamette Falls Dr Ste 260
West Linn, OR 97068-4654
Phone (503) 701-7714

Other practice location 1

1922 21st Ave
Forest Grove, OR 97116-1638
Phone (503) 701-7714

National Provider Directory

National Provider Directory

Locations

1922 21st Ave
Forest Grove, OR 97116
Phone (503) 539-4303

1880 Willamette Falls Dr
Ste 260
West Linn, OR 97068
Phone (503) 656-6920

Practitioners & affiliated clinicians

Practitioners 1

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1427757822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 260",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684654",
            "telephone_number": "503-701-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 260",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684654",
            "telephone_number": "503-701-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161638",
            "country_code": "US",
            "telephone_number": "503-701-7714",
            "fax_number": "503-594-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERMISSION MASSAGE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-701-7714",
        "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": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.