Samantha Marie Paquette, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22346 Issued in OR

Practice address

4855 NE 12TH Ave
Portland, OR 97211-4619

Phone

(503) 960-3366

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lavender Moon Wellness LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1619717170
  NPD

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1447700174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 NE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114619",
            "telephone_number": "503-960-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 NE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972114619",
            "telephone_number": "503-960-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrys Pappas
• Daniel Pappas, L.AC.
• Nicole Pappas
• Dana Paquette
• Madison Dianne Paquette
• Paradise Adult Foster Care Incorporated
• Cooper Leo Paradise Foulke, L.M.T.
• Athena Paradise, D.C.
• Melanie Anne Hautea Paragas, PHARMD
• Mario Alberto Paramo

• Massage Therapist in Portland, OR
• Providers in Portland, 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 5, 2016; 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.