Teascape LLC

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

14706 Issued in OR

Legal business name

TEASCAPE LLC

Practice address

1413 SE Hawthorne Blvd
Portland, OR 97214-3640

Phone

(503) 476-6676

NPI assigned

Mar 27, 2015

Organization subpart

No

Name

Ashley Mueller

Title

Owner/Operator

Phone

(503) 476-6676

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2015.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1457745481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143640",
            "telephone_number": "503-476-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEASCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-476-6676"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "OR",
            "license": "14706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.