Scott Robert Dolan, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13385 Issued in OR

Practice address

729 Molalla Ave
Suite #4
Oregon City, OR 97045-2654

Phone

(971) 533-5436

NPI assigned

Feb 11, 2012

Last updated

Feb 11, 2012By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1457624132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 S KIRK RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970458775",
            "telephone_number": "971-533-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 MOLALLA AVE",
            "address_2": "SUITE #4",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452654",
            "telephone_number": "971-533-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; 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.