Individual provider Active NPI

Valerie P Tabalno, LMT

  • Massage Therapist
  • Clackamas, OR
National Provider Identifier
1508205410
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60309350 Issued in WA
Practice address
15661 SE 82ND Dr
Clackamas, OR 97015
Phone
(503) 343-9851
Fax
(503) 376-6036
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60309350 WA Primary

Addresses

Primary practice location

15661 SE 82ND Dr
Clackamas, OR 97015

Mailing address

15661 SE 82ND Dr
Clackamas, OR 97015-9580
Phone (503) 343-9851

Other practice location 1

3307 Evergreen Way
Washougal, WA 98671-2062
Phone (360) 835-9911

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

LicenseStateTypeSpecialty
60309350WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Acupuncture PastSince Oct 20, 2019 Accepting new patients
Gillespie Chiropractic Clinic Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1508205410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159580",
            "telephone_number": "503-343-9851",
            "fax_number": "503-376-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-343-9851",
            "fax_number": "503-376-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Evergreen Way",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986712062",
            "country_code": "US",
            "telephone_number": "360-835-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABALNO",
        "first_name": "VALERIE",
        "middle_name": "P",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60309350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.