Organization Active NPI

Soulstice LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1447073598
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOULSTICE LLC
Practice address
7318 N Leavitt Ave Ste 101
Portland, OR 97203-4840
Phone
(503) 462-6456
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Chaya Palm
Title
LMT
Phone
(503) 462-6456

Specialties & licenses 1

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

Addresses

Primary practice location

7318 N Leavitt Ave Ste 101
Portland, OR 97203-4840

Mailing address

10000 NE 74TH St
Vancouver, WA 98662-3802
Phone (503) 462-6456

National Provider Directory

National Provider Directory

Locations

7318 N Leavitt Ave
Ste 101
Portland, OR 97203
Phone (503) 462-6456

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": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1447073598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 NE 74TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623802",
            "telephone_number": "503-462-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 N LEAVITT AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972034840",
            "telephone_number": "503-462-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-462-6456"
    },
    "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 Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.