Lisa Bayer, LMT
Individual provider Active NPI Massage Therapist · Sandy, OR
NPI 1447759477 · NPPES record last updated Feb 5, 2018
Key facts
- NPI
- 1447759477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 20311 (OR)
- Practice address
- 17500 Strauss Ave
Sandy, OR 97055-8060 - Phone
- (503) 668-5822
- Fax
- (503) 668-3662
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20311 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Trail Chiropractic LLC | Past |
Accepting new patients | |
| Oregon Trail Integrative Care, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20311 | OR | Yes |
Addresses
Primary practice location
17500 Strauss Ave
Sandy, OR 97055-8060
Mailing address
PO Box 909
Boring, OR 97009-0909
Phone (503) 668-5822
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.