Organization Active NPI

WLM

  • Massage Therapist
  • Lake Oswego, OR
National Provider Identifier
1508321746
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WLM
Practice address
14511 Westlake Dr
Lake Oswego, OR 97035-7783
Phone
(503) 598-8099
NPI assigned
Feb 1, 2019
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Gina Hoffmann, LMTNPI 1568645919
Title
Owner/Licensed Massage Therapist
Phone
(503) 403-9176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

14511 Westlake Dr
Lake Oswego, OR 97035-7783

Mailing address

6172 Bonita Rd Apt B202
Lake Oswego, OR 97035-3139

Other names 2

  • Westlake Massage Former legal business name
  • Westlake Massage Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

14511 Westlake Dr
Lake Oswego, OR 97035
Phone (503) 314-9198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1508321746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6172 BONITA RD APT B202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 WESTLAKE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357783",
            "telephone_number": "503-598-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-403-9176",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westlake Massage",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Westlake Massage Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.