Active NPI
Paul Michael Quiding, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1487839486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13774
- Practice address
- 17105 NE Everett St
Portland, OR 97230-6271 - Phone
- (503) 997-8608
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13774 | OR | Primary |
Addresses
Primary practice location
17105 NE Everett St
Portland, OR 97230-6271
Mailing address
17105 NE Everett St
Portland, OR 97230-6271
Phone (503) 997-8608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13774 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1487839486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17105 NE EVERETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306271",
"telephone_number": "503-997-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17105 NE EVERETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306271",
"telephone_number": "503-997-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIDING",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13774",
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.