Individual provider Active NPI

Xiaofen Huang

  • Massage Therapist
  • Lake Oswego, OR
National Provider Identifier
1508556549
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26704 Issued in OR
Practice address
311 B Ave Ste W
Lake Oswego, OR 97034-3071
Phone
(971) 421-9043
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 61404091 WA
Massage Therapist 225700000X 26704 OR Primary

Addresses

Primary practice location

311 B Ave Ste W
Lake Oswego, OR 97034-3071

Mailing address

SE Oak Street
12093
Portland, OR 97216
Phone (971) 421-9043

Other practice location 1

595 W 8th St
Vancouver, WA 98660-3006
Phone (971) 421-9043

Other practice location 2

12093 SE Oak Street
Portland, OR 97216
Phone (971) 421-9043

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
26704ORMDMassage Therapist
61404091WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1508556549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SE OAK STREET",
            "address_2": "12093",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "971-421-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE STE W",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343071",
            "telephone_number": "971-421-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603006",
            "country_code": "US",
            "telephone_number": "971-421-9043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12093 SE Oak Street",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97216",
            "country_code": "US",
            "telephone_number": "971-421-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "XIAOFEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61404091",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2023; 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.