Active NPI
Rosa Rodriguez
- Massage Therapist
- Wilsonville, OR
National Provider Identifier
1447059977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28806
- Practice address
- 30789 SW Boones Ferry Rd Ste P
Wilsonville, OR 97070-7842 - Phone
- (503) 682-6778
- Fax
- (503) 682-6744
- NPI assigned
- Mar 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 28806 | OR | Primary |
Addresses
Primary practice location
30789 SW Boones Ferry Rd Ste P
Wilsonville, OR 97070-7842
Mailing address
8383 Wagner CT SE
Salem, OR 97317-9140
Phone (541) 730-6206
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 |
|---|---|---|---|
| 28806 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1447059977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8383 WAGNER CT SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973179140",
"telephone_number": "541-730-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30789 SW BOONES FERRY RD STE P",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707842",
"telephone_number": "503-682-6778",
"fax_number": "503-682-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ROSA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-08",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "28806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.