Active NPI
Shahla Bowen, LMP
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1508242959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60547076
- Practice address
- 1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718 - Phone
- (360) 574-3141
- NPI assigned
- Aug 8, 2015
- Sex
- Female
- 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 | MA60547076 | WA | Primary |
Addresses
Primary practice location
1319 NE 134TH St Ste 103
Vancouver, WA 98685-2718
Mailing address
9208 NE Highway 99 # 107-322
Vancouver, WA 98665-8986
Phone (928) 221-8293
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 |
|---|---|---|---|
| MA60547076 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cke Longevity LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1438992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438992000000",
"number": "1508242959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9208 NE HIGHWAY 99 # 107-322",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658986",
"telephone_number": "928-221-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 NE 134TH ST STE 103",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852718",
"telephone_number": "360-574-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "SHAHLA",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-08",
"last_updated": "2015-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60547076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.