Organization Active NPI

Ritualuna Wellness LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1447922042
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RITUALUNA WELLNESS LLC
Practice address
1611 SE Bybee Blvd
Portland, OR 97202-5752
Phone
(971) 279-5638
Fax
(866) 473-0398
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Roxanne Ohara, LMTNPI 1194074484
Title
LMT
Phone
(541) 653-1341

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

1611 SE Bybee Blvd
Portland, OR 97202-5752

Mailing address

1611 SE Bybee Blvd
Portland, OR 97202-5752
Phone (971) 279-5638

National Provider Directory

National Provider Directory

Locations

6637 SE Milwaukie Ave
Ste 207
Portland, OR 97202
Phone (541) 653-1341

1611 SE Bybee Blvd
Portland, OR 97202
Phone (503) 572-9234

Practitioners & affiliated clinicians

Practitioners 12

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1447922042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025752",
            "telephone_number": "971-279-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025752",
            "telephone_number": "971-279-5638",
            "fax_number": "866-473-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITUALUNA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "541-653-1341",
        "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 Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.